Provider Demographics
NPI:1003522509
Name:CURREN, BONNIE (HIS)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:CURREN
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 N WHITLEY DR
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:ID
Mailing Address - Zip Code:83619-2242
Mailing Address - Country:US
Mailing Address - Phone:208-452-5077
Mailing Address - Fax:
Practice Address - Street 1:1407 N WHITLEY DR
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:ID
Practice Address - Zip Code:83619-2242
Practice Address - Country:US
Practice Address - Phone:208-452-5077
Practice Address - Fax:208-452-5077
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDHA-5192237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist