Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CARRIE ANN BONOMO, M.D.
ActivePediatrics · FERRIDAY, LA
Registration Details
- NPI Number
- 1992705016
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2005 (20.791046497835 yrs)
- Last Updated
- Dec 21, 2021
- License
-
026732 (LA)
Practice Information
- Address
-
204 SERIO BLVDFERRIDAY, LA, 71334Browse LA providers · Browse ZIP 71334
- Phone
- 3187578010
- Fax
- 3187579501
- Primary Specialty
-
Pediatrics
208000000X
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.