Individual provider · Type 1 NPI

Bonnie Loretta Northsea, M.ED.

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1962641449 Active · reactivated Jul 29, 2014

Practice location

4117 NW 66th Ter
Gainesville, FL 32606-4251

Call (352) 514-1772 Map

Other practice locations

  • 7200 SW 8th Ave, G42, Gainesville, FL 32607-1888 · (352) 281-5635

Specialties and licenses

TaxonomyCodeLicense
Early Intervention Provider Agency 252Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962641449

Bonnie Loretta Northsea, M.ED.'s National Provider Identifier is 1962641449, issued on Feb 6, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Apr 15, 2019.