Provider Demographics
NPI:1629747993
Name:KUIZINAS, BONNIE M (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:M
Last Name:KUIZINAS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 BRANSON LANDING BLVD STE 407
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2196
Mailing Address - Country:US
Mailing Address - Phone:417-335-7246
Mailing Address - Fax:
Practice Address - Street 1:525 BRANSON LANDING BLVD STE 407
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2196
Practice Address - Country:US
Practice Address - Phone:417-335-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021027493207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine