Provider Demographics
NPI:1851875777
Name:BONNER-FINNIGAN, MINETTE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MINETTE
Middle Name:
Last Name:BONNER-FINNIGAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:MINETTE
Other - Middle Name:
Other - Last Name:BONNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4667 EDISON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6740
Mailing Address - Country:US
Mailing Address - Phone:619-723-3488
Mailing Address - Fax:
Practice Address - Street 1:5030 CAMINO DE LA SIESTA STE 405
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3120
Practice Address - Country:US
Practice Address - Phone:619-299-9350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530825163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse