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Carlos Eduardo Bonilla, APRN
Family Nurse Practitioner in Orem, Utah
NPI 1174032122

Carlos Eduardo Bonilla is a Family Nurse Practitioner based in Lehi, UT and is specialized in Family. Carlos Eduardo Bonilla practices in Orem, UT and has the professional credentials of APRN. The NPI Number for Carlos Eduardo Bonilla is 1174032122 and holds a License No. 5250948-4405 (Utah).

The current practice location address for Carlos Eduardo Bonilla is 1443 West 800 North, Suite #302, Orem, UT and can be reached out via phone at 801-235-0953.

Location: 1443 West 800 North, Suite #302, Orem, UT, 84043-4617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174032122
Provider Name
Carlos Eduardo Bonilla
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1443 West 800 North, Suite #302, Orem, UT, 84043-4617
Phone Number
801-235-0953
Fax Number
Provider Enumeration Date
09/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1443 West 800 North, Suite #302
City
Orem
State
Utah
Zip
84057-3658
Phone Number
801-235-0953
Fax Number
person
Provider Business Mailing Address Details
Address
1443 West 800 North, Suite #302
City
Orem
State
Utah
Zip
84057-3658
Phone Number
801-235-0953
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5250948-4405 (Utah)
Definition
Definition to come...
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