Bona Bobo, APRN
Nurse Practitioner, Adult Health in Vancouver, WA. Individual provider (NPI-1).
NPI number1659933075
StatusActive
Last updated in NPPESDec 5, 2023
Details
- NPI
- 1659933075
- Entity type
- Individual (NPI-1)
- Name
- Bona Bobo
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2019
- Certification date
- Dec 5, 2023
- Last updated
- Dec 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 822801 | NV | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 822801 | NV | |
| 363LG0600X | Nurse Practitioner, Gerontology | APN.0994746-NP | CO | |
| 363LA2200X | Nurse Practitioner, Adult Health | APN.0994746-NP | CO |
Practice location
304 Se Hearthwood Blvd # 873933Vancouver, WA 98684-7551
Phone 702-849-3302 · Fax 778-769-4717
Mailing address
304 Se Hearthwood Blvd # 873933Vancouver, WA 98684-7551
Phone 702-849-3302 · Fax 778-769-4717
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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