Bonnie J Parham, lpn
Licensed Practical Nurse in Gunpowder, MD. Individual provider (NPI-1).
NPI number1104980150
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104980150
- Entity type
- Individual (NPI-1)
- Name
- Bonnie J Parham
- Credential
- lpn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | lp36500 | MD | Yes |
Practice location
4110 Austin RoadGunpowder, MD 21010
Phone 410-436-3001
Mailing address
250 Foster Knoll DrJoppa, MD 21085-4704
Phone 410-679-6647
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