Provider Demographics
NPI:1598032518
Name:GARDEN, BONNIE L (RN)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:L
Last Name:GARDEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1621
Mailing Address - Country:US
Mailing Address - Phone:518-943-5665
Mailing Address - Fax:518-943-4899
Practice Address - Street 1:345 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1621
Practice Address - Country:US
Practice Address - Phone:518-943-5665
Practice Address - Fax:518-943-4899
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY375269-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool