Maria Elena Bonilla Reyes, REGISTERED NURSE
Individual provider Active NPI Home Health Registered Nurse · North St Paul, MN
NPI 1235698648 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1235698648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 2263191 (MN)
- Practice address
- 2586 7TH Ave E Ste 302
North St Paul, MN 55109-3090 - Phone
- (651) 633-7300
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2263191 | MN | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 2263191 | MN | Yes |
Addresses
Primary practice location
2586 7TH Ave E Ste 302
North St Paul, MN 55109-3090
Mailing address
2586 7TH Ave E Ste 302
North St Paul, MN 55109-3090
Phone (651) 633-7300
Other providers in North St Paul, MN
- Molly Amundson
- Candace Jean Anderson
- Jason Jay Arndt
- Zewdu Ayenew
- Mark WW Bogel
- Arlene Boutin
- Jennifer Braun
- Deborah Ileen Brogden
- April Buterbaugh
- Blake Buzay
All providers in North St Paul, MN · Home Health Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.