Tonya Kay Bonnell, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Rensselaer, IN

NPI 1720697451 · NPPES record last updated Jul 29, 2020

Key facts

NPI
1720697451
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
71010209A (IN)
Practice address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone
(219) 866-1890
Fax
(219) 866-1871
NPI assigned
Jul 29, 2020
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

LicenseStateTypeSpecialty
71010209AINMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010209A IN Yes

Addresses

Primary practice location

123 S McKinley Ave
Rensselaer, IN 47978-2949

Mailing address

2532 S 100 E
Winamac, IN 46996-7893
Phone (574) 229-8855

Other providers in Rensselaer, IN

All providers in Rensselaer, IN · Family Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.