Individual provider · Type 1 NPI
Lydia M. Bonner, NP
Family Nurse Practitioner · Repton, AL
NPI number
1386250710
Active
Practice location
1328 Old Stage Rd
Repton, AL 36475-9433
Fax (833) 760-3746
Other practice locations
- 849 S Three Notch St, Andalusia, AL 36420-5399 · (334) 222-8466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 115121 (AL) |
| Clinic/Center | 261Q00000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1386250710
Lydia M. Bonner, NP's National Provider Identifier is 1386250710, issued on Sep 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Repton, AL. The record was last updated on Dec 4, 2025.