Provider Demographics
NPI:1992963755
Name:PLOWMAN, BONNY (RN/NP)
Entity type:Individual
Prefix:
First Name:BONNY
Middle Name:
Last Name:PLOWMAN
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:BONNY
Other - Middle Name:
Other - Last Name:BERNIER-PLOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN/NP
Mailing Address - Street 1:208 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1966
Mailing Address - Country:US
Mailing Address - Phone:207-730-1625
Mailing Address - Fax:
Practice Address - Street 1:1132 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3878
Practice Address - Country:US
Practice Address - Phone:413-592-1980
Practice Address - Fax:413-439-0096
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA275011163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse