Individual provider · Type 1 NPI

Derek C. Bonn, NP

Nurse Practitioner · League City, TX

NPI number 1720555097 Active

Practice location

2560 E League City Pkwy
League City, TX 77573-6459

Fax (713) 439-7995

Mailing address

16107 Kensington Dr Ste 126
Sugar Land, TX 77479-4224

Other practice locations

  • 1111 W Adoue St, Alvin, TX 77511-2718 · (281) 824-1480

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP139481 (TX)
Nurse Practitioner Primary 363L00000XAP139481 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720555097

Derek C. Bonn, NP's National Provider Identifier is 1720555097, issued on Oct 25, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in League City, TX. The record was last updated on Apr 30, 2021.