Individual provider · Type 1 NPI
Phyllis Ann Bonat
General Practice Registered Nurse · Gatesville, TX
NPI number
1366010928
Active
Practice location
408 Riata
Gatesville, TX 76528-2743
Mailing address
3003 Batalion Avenue Fort Hood, Texas
Fpo, AA 76544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 667303 (TX) |
General Practice Registered Nurse: Definition to come...
About NPI 1366010928
Phyllis Ann Bonat's National Provider Identifier is 1366010928, issued on Jun 11, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Gatesville, TX. The record was last updated on Jun 11, 2021.