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Bonnie Ruth Martin, ANP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1346653755

Bonnie Ruth Martin is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Bonnie Ruth Martin practices in Fort Worth, TX and has the professional credentials of ANP. The NPI Number for Bonnie Ruth Martin is 1346653755 and holds a License No. PA125393 (Texas).

The current practice location address for Bonnie Ruth Martin is 5937 Donnelly Ave, Fort Worth, TX and can be reached out via phone at 682-212-9140.

Location: 5937 Donnelly Ave, Fort Worth, TX, 76107-5811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346653755
Provider Name
Bonnie Ruth Martin
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
5937 Donnelly Ave, Fort Worth, TX, 76107-5811
Phone Number
682-212-9140
Fax Number
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP125393 01 TX TEXAS LICENSE
institution
Provider Business Practice Location Address Details
Address
5937 Donnelly Ave
City
Fort Worth
State
Texas
Zip
76107-5811
Phone Number
682-212-9140
Fax Number
person
Provider Business Mailing Address Details
Address
5937 Donnelly Ave
City
Fort Worth
State
Texas
Zip
76107-5811
Phone Number
682-212-9140
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
PA125393 (Texas)
Definition
Definition to come...
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