Provider Demographics
NPI:1326317942
Name:BUTTON, BONNIE E (RN,CDE)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:E
Last Name:BUTTON
Suffix:
Gender:F
Credentials:RN,CDE
Other - Prefix:MS
Other - First Name:BONNIE
Other - Middle Name:E
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,CDE
Mailing Address - Street 1:411 CANISTEO ST
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-2104
Mailing Address - Country:US
Mailing Address - Phone:607-324-8787
Mailing Address - Fax:607-324-8078
Practice Address - Street 1:411 CANISTEO ST
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-2104
Practice Address - Country:US
Practice Address - Phone:607-324-8787
Practice Address - Fax:607-324-8078
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY456132163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator