Provider Demographics
NPI:1316035678
Name:LOKEY, BONNIE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:
Last Name:LOKEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 HWY 6 SOUTH
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845
Mailing Address - Country:US
Mailing Address - Phone:979-690-4460
Mailing Address - Fax:979-690-4461
Practice Address - Street 1:4421 HWY 6 SOUTH
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845
Practice Address - Country:US
Practice Address - Phone:979-690-4460
Practice Address - Fax:979-690-4461
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3206OtherBLUE CROSS BLUE SHIELD
TX8K2277Medicare UPIN
TX8K2277Medicare PIN