Provider Demographics
NPI:1841620796
Name:BONNER, FRANKIE (CPNP)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:BONNER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4520 LINDEN CREEK PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2969
Mailing Address - Country:US
Mailing Address - Phone:810-244-1168
Mailing Address - Fax:810-244-1172
Practice Address - Street 1:4520 LINDEN CREEK PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2969
Practice Address - Country:US
Practice Address - Phone:810-244-1168
Practice Address - Fax:810-244-1172
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704101708363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics