Individual provider · Type 1 NPI

Carissa Ann Bonner, PNP

Pediatric Nurse Practitioner · Houghton Lake, MI

NPI number 1699078170 Active

About NPI 1699078170

Carissa Ann Bonner, PNP's National Provider Identifier is 1699078170, issued on Dec 6, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houghton Lake, MI. The record was last updated on Mar 20, 2015.