Provider Demographics
NPI:1932997350
Name:PEREZ BONILLA, KEREN ELISABETH
Entity type:Individual
Prefix:
First Name:KEREN ELISABETH
Middle Name:
Last Name:PEREZ BONILLA
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 1:11233 DES MOINES MEMORIAL DR S APT 103
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98168-1770
Mailing Address - Country:US
Mailing Address - Phone:206-854-9757
Mailing Address - Fax:
Practice Address - Street 1:11233 DES MOINES MEMORIAL DR S APT 103
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98168-1770
Practice Address - Country:US
Practice Address - Phone:206-854-9757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula