Individual provider · Type 1 NPI

Bonnie Brannock

Student in an Organized Health Care Education/Training Program · Colville, WA

NPI number 1093255267 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Call (509) 684-4597 Map

Fax (509) 684-5286

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNC10069713 (WA)
Nurse's Aide 376K00000XNC10069713 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093255267

Bonnie Brannock's National Provider Identifier is 1093255267, issued on Mar 7, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colville, WA. The record was last updated on Dec 13, 2018.