Donna Marie Bonk
Nurse Practitioner
330 Turner Mccall Blvd Sw
Rome
, Georgia 30165-5630
Donna Marie Bonk
Nurse Practitioner
330 Turner Mccall Blvd Sw
Rome
, Georgia 30165-5630
(762) 235-1000
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Donna Marie Bonk
- 221 Technology Pkwy Nw
- Rome, GA
- Zip : 30165-1369
- Phone : (762) 235-1000
Second Address
- Donna Marie Bonk
- 330 Turner Mccall Blvd Sw
- Rome, GA
- Zip : 30165-5630
- Fax : (706) 291-2227
- Phone : (706) 291-1754
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN174045 | GA |
National Provider Identifier
| NPI | 1003173139 |
|---|---|
| Provider Name | Donna Marie Bonk |
| First Address | Rome, GA 30165-1369 |
| Second Address | Rome, GA 30165-5630 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2012 |
| Last Update Date | 07/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003128475A | (05) | GA |
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.