Provider Demographics
NPI:1063287613
Name:HUYNH, BONNIE (RN, APRN-CNP)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:HUYNH
Suffix:
Gender:F
Credentials:RN, APRN-CNP
Other - Prefix:MS
Other - First Name:BONNIE
Other - Middle Name:LYNN
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BONNIE BUONFIGLIO
Mailing Address - Street 1:7000 VOYAGE DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5429
Mailing Address - Country:US
Mailing Address - Phone:775-376-0455
Mailing Address - Fax:
Practice Address - Street 1:5590 KIETZKE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3019
Practice Address - Country:US
Practice Address - Phone:775-323-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV870598363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner