Individual provider · Type 1 NPI
Bonita C. Yeshurun, RN
Administrator Registered Nurse · Dallas, GA
NPI number
1477377265
Active
Practice location
688 Bentleaf Dr
Dallas, GA 30132-1129
Mailing address
80 Pine Valley Rd Ste 113
Hiram, GA 30141-4976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Administrator Registered Nurse Primary | 163WA2000X | RN288265 (GA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1477377265
Bonita C. Yeshurun, RN's National Provider Identifier is 1477377265, issued on Nov 9, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Dallas, GA. The record was last updated on Dec 2, 2024.