Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA ANN BONNER, PNP
ActiveCARISSA ANN BONNER, PNP is a Pediatric Nurse Practitioner healthcare provider located in HOUGHTON LAKE, Michigan. NPI 1699078170 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · HOUGHTON LAKE, MI
Registration Details
- NPI Number
- 1699078170
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2010 (15.646369258068 yrs)
- Last Updated
- Mar 20, 2015
- License
-
4704250132 (MI)
Practice Information
- Address
-
9249 W LAKE CITY RDHOUGHTON LAKE, MI, 486299602Browse MI providers · Browse ZIP 48629
- Phone
- 9894225122
- Fax
- 9894224378
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.