STACEY BONOMO, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1821393430
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 200530455LPN (OR) |
Frequently Asked Questions
NPI 1821393430 is the National Provider Identifier for STACEY BONOMO, LPN, a Licensed Practical Nurse provider located in Springfield, OR. This NPI was enumerated on January 13, 2011.
STACEY BONOMO, LPN practices at 2073 OLYMPIC STREET, #304, Springfield, OR 97477.
Quick Facts
- NPI
- 1821393430
- Type
- Individual
- Enumerated
- Jan 13, 2011
- Last Updated
- Apr 27, 2011
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