Individual provider · Type 1 NPI

Connie Ela Lupe Joy Billones Bongar, AGNP

Primary Care Nurse Practitioner · Grand Junction, CO

NPI number 1174997290 Active

Practice location

2686 Patterson Rd, Smmg Phys Med & Rehab
Grand Junction, CO 81506-8817

Fax (970) 298-7138

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAPN.0991782 (CO)
Gerontology Nurse Practitioner 363LG0600XAPN.0991782-NP (CO)
Primary Care Nurse Practitioner Primary 363LP2300XAPN.0991782-NP (CO)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1174997290

Connie Ela Lupe Joy Billones Bongar, AGNP's National Provider Identifier is 1174997290, issued on Dec 1, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Grand Junction, CO. The record was last updated on Jan 4, 2017.