Individual provider · Type 1 NPI
Lisa Bonacum, FNP-C
Family Nurse Practitioner · Anaheim, CA
NPI number
1447173141
Active
Practice location
1401 S Anaheim Blvd
Anaheim, CA 92805-6214
Mailing address
4421 E Cerro Villa Dr
Orange, CA 92867-2233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 811217 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95038870 (CA) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
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- Peter K ShekGeneral Practice Dentistry Anaheim, CA NPI 1063983625
- David Shek, MDFamily Medicine Physician Anaheim, CA NPI 1346289915
- Marissa MartiniGeneral Practice Physician Anaheim, CA NPI 1952263675
- Peter K. Shek, DDSGeneral Practice Dentistry Anaheim, CA NPI 1770686677
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- Shary Joseph, DNPFamily Nurse Practitioner Anaheim, CA NPI 1063836120
About NPI 1447173141
Lisa Bonacum, FNP-C's National Provider Identifier is 1447173141, issued on Jul 31, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anaheim, CA. The record was last updated on Jul 31, 2026.