Bonnie Hitchcock, RN
Individual provider Active NPI Case Management Registered Nurse · Wpafb, OH
NPI 1497586127 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1497586127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- RN.477768 (OH)
- Practice address
- 4881 Sugar Maple Dr
Wpafb, OH 45433-5529 - Phone
- (937) 713-1553
- NPI assigned
- Aug 13, 2024
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.477768 | OH | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN.477768 | OH | Yes |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Mailing address
309 Gordon Rd
Springfield, OH 45504-3307
Phone (937) 215-0195
Other providers in Wpafb, OH
- Joshua Haney
- Aaron Benjamin Harding
- Kyle D Hart
- Thomas Edward Heering Jr.
- Scott Hewitt
- Sylvie Mai Ho
- Jason James Hofstede
- Jacob Hollis
- Dorene K. Holt
- Scotty Howard
All providers in Wpafb, OH · Case Management Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. 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.