Bonnie Susan Omeara
Nurse Practitioner - Adult Health
9500 Gilman Dr
La Jolla
, California 92093-5004
Bonnie Susan Omeara
Nurse Practitioner - Adult Health
9500 Gilman Dr
La Jolla
, California 92093-5004
(858) 578-7189
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Bonnie Susan Omeara
- 10776 Sunset Ridge Dr
- San Diego, CA
- Zip : 92131-2380
- Phone : (858) 578-7189
Second Address
- Bonnie Susan Omeara
- 9500 Gilman Dr
- La Jolla, CA
- Zip : 92093-5004
- Phone : (858) 534-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 292148 | CA |
National Provider Identifier
| NPI | 1013103639 |
|---|---|
| Provider Name | Bonnie Susan Omeara |
| First Address | San Diego, CA 92131-2380 |
| Second Address | La Jolla, CA 92093-5004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2007 |
| Last Update Date | 18/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.