Individual provider · Type 1 NPI
Mary Kate Bonilla, CRNP
Nurse Practitioner · Huntsville, AL
Practice location
400 Whitesport Dr SW Suite 201
Huntsville, AL 35801-6429
Fax (256) 882-9188
Mailing address
102 Mcadoo Dr
Madison, AL 35758-8409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | ARNP 2235552 (FL) |
| Family Nurse Practitioner | 363LF0000X | 1-038037 (AL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1114070786
Mary Kate Bonilla, CRNP's National Provider Identifier is 1114070786, issued on Jan 18, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntsville, AL. The record was last updated on Sep 11, 2025.