Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5006100 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 5006100 | NC |
NPI | 1548509250 |
---|---|
Provider Name | Bonnie K Sammons |
First Address | Salisbury, NC 28144-2705 |
Second Address | Salisbury, NC 28144-2705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2013 |
Last Update Date | 21/02/2018 |