Individual provider · Type 1 NPI
Bonita Lois Martin, NP
Gerontology Nurse Practitioner · De Queen, AR
NPI number
1053950113
Active
Practice location
500 E Collin Raye Dr
De Queen, AR 71832-8048
Mailing address
358 Bridge Creek Rd
Horatio, AR 71842-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 123723 (AR) |
Gerontology Nurse Practitioner: Definition to come...
9 other providers at this address
- De Queen Family Medical Associates PLLCFamily Medicine Physician De Queen, AR NPI 1104678820
- Lansdell Enterprise CorpFamily Medicine Physician De Queen, AR NPI 1487278776
- Lansdell Family Clinic PLLCFamily Nurse Practitioner De Queen, AR NPI 1134596927
- Pruetts Food IncCommunity/Retail Pharmacy De Queen, AR NPI 1659648285
- Candace Michelle Whitley, PharmDPharmacist De Queen, AR NPI 1043962509
- Gina Richardson, PHARM. D.Pharmacist De Queen, AR NPI 1578377743
- Katy Ann MossFamily Nurse Practitioner De Queen, AR NPI 1972105054
- Lindsey Renee Gillihan, APRN, FNP-CFamily Nurse Practitioner De Queen, AR NPI 1033062492
- Tawnya Lee Lansdell, APRN-CNPFamily Nurse Practitioner De Queen, AR NPI 1972890283
About NPI 1053950113
Bonita Lois Martin, NP's National Provider Identifier is 1053950113, issued on Jan 6, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in De Queen, AR. The record was last updated on Feb 11, 2020.