Provider Demographics
NPI:1861889214
Name:BONDS, ANNIE PEAKS (FNP-C)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:PEAKS
Last Name:BONDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:LANORE
Other - Last Name:PEAKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:232 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2000
Mailing Address - Country:US
Mailing Address - Phone:252-809-6400
Mailing Address - Fax:252-809-6405
Practice Address - Street 1:232 GREEN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2000
Practice Address - Country:US
Practice Address - Phone:252-809-6400
Practice Address - Fax:252-809-6405
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily