Individual provider · Type 1 NPI

Bonnie Nadaene Grude

Family Nurse Practitioner · Shawnee, OK

NPI number 1154905321 Active

Practice location

3700 N Kickapoo Ave
Shawnee, OK 74804-1707

Fax (405) 214-1078

Mailing address

701 NE 36th St
Oklahoma City, OK 73105-7203

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201526 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1154905321

Bonnie Nadaene Grude's National Provider Identifier is 1154905321, issued on May 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shawnee, OK. The record was last updated on Apr 1, 2025.