Provider Demographics
NPI:1073083416
Name:CUTRER, BONDI BETH (LVN)
Entity Type:Individual
Prefix:
First Name:BONDI
Middle Name:BETH
Last Name:CUTRER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8360 ECKHERT RD TRLR B12
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2974
Mailing Address - Country:US
Mailing Address - Phone:210-267-7447
Mailing Address - Fax:
Practice Address - Street 1:8360 ECKHERT RD TRLR B12
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2974
Practice Address - Country:US
Practice Address - Phone:210-267-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206687164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse