Bonnie Anderson, APRN
Individual provider Active NPI Family Nurse Practitioner · Conway, AR
NPI 1942811047 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1942811047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 123592 (AR)
- Practice address
- 2710 College Ave
Conway, AR 72034-6141 - Phone
- (501) 329-1800
- Fax
- (501) 329-2507
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 123592 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Pediatrics of Conway, PA | Past |
Accepting new patients | |
| Conway Regional Medical Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 123592 | AR | Yes |
Addresses
Primary practice location
2710 College Ave
Conway, AR 72034-6141
Mailing address
PO Box 1210
Conway, AR 72033-1210
Phone (501) 329-1800
Other providers in Conway, AR
- American Oncology Partners, P.a.
- Lenora Ames
- An Angels Touch Bodyworks, LLC
- Anchor Medical, Inc.
- Annette N. Anderson
- David E. Anderson
- Marc Anderson
- Jordana R Andrews
- Terrell Lamar Andrews Jr.
- William Hunter Andrews
All providers in Conway, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. 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.