Provider Demographics
NPI:1629309638
Name:BONOGOFSKY-PARKER, SHARON G (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:G
Last Name:BONOGOFSKY-PARKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:2321 BROADWATER AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4715
Mailing Address - Country:US
Mailing Address - Phone:406-652-4868
Mailing Address - Fax:406-652-2373
Practice Address - Street 1:2321 BROADWATER AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4715
Practice Address - Country:US
Practice Address - Phone:406-652-4868
Practice Address - Fax:406-652-2373
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT9889364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health