Provider Demographics
NPI:1851468938
Name:HAND, BONNIE LOU (CNM)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:LOU
Last Name:HAND
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OBRIEN AVE
Mailing Address - Street 2:
Mailing Address - City:APALACHIN
Mailing Address - State:NY
Mailing Address - Zip Code:13732-3720
Mailing Address - Country:US
Mailing Address - Phone:607-625-2333
Mailing Address - Fax:
Practice Address - Street 1:10 OBRIEN AVE
Practice Address - Street 2:
Practice Address - City:APALACHIN
Practice Address - State:NY
Practice Address - Zip Code:13732-3720
Practice Address - Country:US
Practice Address - Phone:607-625-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000685-1163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory