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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN PATRICK BONILLA, N.P.

Active

SHAWN PATRICK BONILLA, N.P. is a Acute Care Nurse Practitioner healthcare provider located in BLANCHARD, Oklahoma. NPI 1134213978 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · BLANCHARD, OK

Registration Details

NPI Number
1134213978
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.826277995743 yrs)
Last Updated
Mar 24, 2016
License
ROO68442 (OK)

Practice Information

Address
821 E VETERANS MEMORIAL HWY
BLANCHARD, OK, 730109215
Browse OK providers · Browse ZIP 73010
Phone
4056595656
Fax
4057015421
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.