Individual provider · Type 1 NPI
Kristin Bonilla, RN
Family Nurse Practitioner · Beaver Dam, WI
NPI number
1164317616
Active
Practice location
323 York St
Beaver Dam, WI 53916-1725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 17434 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1164317616
Kristin Bonilla, RN's National Provider Identifier is 1164317616, issued on Jun 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beaver Dam, WI. The record was last updated on Feb 11, 2026.