Individual provider · Type 1 NPI

Carlos Eduardo Bonilla, APRN

Family Nurse Practitioner · Orem, UT

NPI number 1174032122 Active

Practice location

1443 West 800 North, Suite #302
Orem, UT 84057-3658

Call (801) 235-0953 Map

Mailing address

3527 Newland Loop
Lehi, UT 84043-4617

Other practice locations

  • George E. Wahlen Va Salt Lake City Health Care System, 500 Foothill Blvd. (00QC), Salt Lake City, UT 84138 · (801) 582-1565

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5250948-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1174032122

Carlos Eduardo Bonilla, APRN's National Provider Identifier is 1174032122, issued on Sep 21, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orem, UT. The record was last updated on Mar 17, 2018.