Kimberly Lamar Bonassin, FNP-C
Nurse Practitioner, Family in Humble, TX. Individual provider (NPI-1).
NPI number1689323933
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1689323933
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Lamar Bonassin
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2022
- Certification date
- Oct 31, 2024
- Last updated
- Oct 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1089044 | TX | Yes |
| 163W00000X | Registered Nurse | 781598 | TX |
Practice location
5511 Gladehill DrHumble, TX 77345-2453
Phone 512-947-7402
Mailing address
11511 Shadow Creek ParkwayHr/Credentialing Services
Pearland, TX 77584-7298
Phone 713-442-0000
Other practice locations
2727 W. Holcombe Blvd
Houston, TX 77025-1669
Houston, TX 77025-1669
Phone 713-442-0000
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