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Otto Joseph Bonin JR., NP
Nurse Practitioner in Zachary, Louisiana
NPI 1558368316

Otto Joseph Bonin JR. is a Nurse Practitioner based in Zachary, LA. Otto Joseph Bonin JR. practices in Zachary, LA and has the professional credentials of NP. The NPI Number for Otto Joseph Bonin JR. is 1558368316 and holds a License No. RN085359 - AP04429 (Louisiana).

The current practice location address for Otto Joseph Bonin JR. is 1215 Independence Blvd 1A, Zachary, LA and can be reached out via phone at 225-570-2010 and via fax at 225-570-8573.

Location: 1215 Independence Blvd 1A, Zachary, LA, 70791-7391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558368316
Provider Name
Otto Joseph Bonin JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1215 Independence Blvd 1A, Zachary, LA, 70791-7391
Phone Number
225-570-2010
Fax Number
225-570-8573
Provider Enumeration Date
07/07/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1069311 05 LA
P00089352 01 LA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1215 Independence Blvd 1A
City
Zachary
State
Louisiana
Zip
70791-7391
Phone Number
225-570-2010
Fax Number
225-570-8573
person
Provider Business Mailing Address Details
Address
1215 Independence Blvd 1A
City
Zachary
State
Louisiana
Zip
70791-7391
Phone Number
225-570-2010
Fax Number
225-570-8573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN085359 - AP04429 (Louisiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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