Provider Demographics
NPI:1285059295
Name:KEYS, BONNIE (RN, BSN, CHPN)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:KEYS
Suffix:
Gender:F
Credentials:RN, BSN, CHPN
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:JOSEPHSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:16840 W 14TH PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2887
Mailing Address - Country:US
Mailing Address - Phone:720-224-1300
Mailing Address - Fax:
Practice Address - Street 1:16840 W 14TH PL
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2887
Practice Address - Country:US
Practice Address - Phone:720-224-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83889163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse