DR. KELLEY M BONOWSKI DNP RN CPNP-PC NPI 1891285854

NPI Information

NPI: 1891285854
Provider Name: DR. KELLEY M BONOWSKI, DNP, RN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5310 W THUNDERBIRD RD STE 301
GLENDALE, AZ
ZIP 85306
Phone: (602) 865-4442
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DR. Kelley M Bonowski, DNP, RN, CPNP-PC is a pediatrics nurse practitioner in Glendale, AZ. DR. Kelley M Bonowski, DNP, RN, CPNP-PC NPI is 1891285854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5310 W THUNDERBIRD RD STE 301
GLENDALE, AZ
ZIP 85306-710
Phone: (602) 865-4442

The enumeration date for this NPI number is 5/15/2018 and was last updated on 2/2/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN109394	ARIZONA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP11360	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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