Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0991874-NP | CO |
NPI | 1003292137 |
---|---|
Provider Name | Bonnie Strickland |
First Address | Gunnison, CO 81230-2296 |
Second Address | Gunnison, CO 81230-2229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2015 |
Last Update Date | 24/01/2020 |