Provider Demographics
NPI:1699585836
Name:BONECUTTER, ISABELLE LANE
Entity type:Individual
Prefix:MS
First Name:ISABELLE
Middle Name:LANE
Last Name:BONECUTTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19514 HEATHER DEE CT
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-4308
Mailing Address - Country:US
Mailing Address - Phone:970-764-7274
Mailing Address - Fax:
Practice Address - Street 1:19514 HEATHER DEE CT
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-4308
Practice Address - Country:US
Practice Address - Phone:970-764-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula