Provider Demographics
NPI:1366000515
Name:OXFORD, BONNIE (FNP)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:OXFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 MCBRIDE ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0320
Mailing Address - Country:US
Mailing Address - Phone:406-740-5162
Mailing Address - Fax:
Practice Address - Street 1:10 4TH ST W STE B
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-1804
Practice Address - Country:US
Practice Address - Phone:406-665-4103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT140816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily