Provider Demographics
NPI:1407905219
Name:CERES, BONNIE HOTCHKISS (LAC, RN)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:HOTCHKISS
Last Name:CERES
Suffix:
Gender:F
Credentials:LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N POINT DR
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1511
Mailing Address - Country:US
Mailing Address - Phone:732-389-9137
Mailing Address - Fax:
Practice Address - Street 1:22 S HOLMDEL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2613
Practice Address - Country:US
Practice Address - Phone:732-946-3001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO06528700163W00000X
NJ25MZ00042000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse