Provider Demographics
NPI:1962955005
Name:BONNEL, MEGHA C (APRN)
Entity type:Individual
Prefix:
First Name:MEGHA
Middle Name:C
Last Name:BONNEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:823 SW MULVANE ST STE 275
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1687
Mailing Address - Country:US
Mailing Address - Phone:785-270-4355
Mailing Address - Fax:785-270-4364
Practice Address - Street 1:823 SW MULVANE ST STE 275
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1687
Practice Address - Country:US
Practice Address - Phone:785-270-4355
Practice Address - Fax:785-270-4364
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS77261363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS068002424OtherMEDICARE PTAN