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

SALLY DIANE BONHAM, BSN, MSN, FNP, IBCLC

Active

SALLY DIANE BONHAM, BSN, MSN, FNP, IBCLC is a Family Nurse Practitioner healthcare provider located in WACO, Texas. NPI 1811750078 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WACO, TX

Registration Details

NPI Number
1811750078
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2024 (2.4982503388672 yrs)
Last Updated
Oct 29, 2025
Licenses
638280 (TX)
1182184 (TX)

Practice Information

Address
3500 HILLCREST DR STE 1
WACO, TX, 767083144
Browse TX providers · Browse ZIP 76708
Phone
2547416641
Fax
2574537469
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in WACO, TX

Name Credential NPI
JANIS KAY GILES FNP 1871585737
RANDALL LYNN YORK FNP 1740261395
MRS. DEBORAH LYNN MCCOY FNP 1285608372
MS. PATRICIA CALDWELL STARK RN ANP 1558320697
CYNTHIA A MCADAMS FNP 1932149101
YVONNE TEAT NP 1942213970
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.