MRS. BONNIE COBURN, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1720165103
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 277000529 (IL) |
| Nurse Practitioner | 363L00000X | No | 209006142 (IL) |
Frequently Asked Questions
NPI 1720165103 is the National Provider Identifier for MRS. BONNIE COBURN, NP, a Nurse Practitioner - Family provider located in Decatur, IL. This NPI was enumerated on November 1, 2006.
MRS. BONNIE COBURN, NP practices at 4455 E US ROUTE 36, Decatur, IL 62521.
Quick Facts
- NPI
- 1720165103
- Type
- Individual
- Enumerated
- Nov 1, 2006
- Last Updated
- Oct 28, 2025
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