BONNIE LYNN DISHROON FNP NPI 1467969410

NPI Information

Bonnie Lynn Dishroon, FNP is a family nurse practitioner in Dearborn, MI with 7 years of experience. Bonnie Lynn Dishroon, FNP NPI is 1467969410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2017

The provider's business location address is:

18100 OAKWOOD BLVD STE 205
DEARBORN, MI
ZIP 48124-085
Phone: (313) 438-7880
Fax: (313) 438-7882

The NPI 1467969410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2017 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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