Provider Demographics
NPI:1700845815
Name:BOND, NADINE B (APNP,CS)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:B
Last Name:BOND
Suffix:
Gender:F
Credentials:APNP,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OCONTO
Mailing Address - State:WI
Mailing Address - Zip Code:54153-1541
Mailing Address - Country:US
Mailing Address - Phone:715-892-1823
Mailing Address - Fax:
Practice Address - Street 1:1201 MAIN ST
Practice Address - Street 2:
Practice Address - City:OCONTO
Practice Address - State:WI
Practice Address - Zip Code:54153-1541
Practice Address - Country:US
Practice Address - Phone:715-892-1823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI110501-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43999300OtherBILLING PROVIDER