Provider Demographics
NPI:1972703965
Name:CAMPER, BONNIE A (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:A
Last Name:CAMPER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 MEADOW LARK DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-3906
Mailing Address - Country:US
Mailing Address - Phone:888-842-7177
Mailing Address - Fax:302-422-5383
Practice Address - Street 1:58 MEADOW LARK DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-3906
Practice Address - Country:US
Practice Address - Phone:888-842-7177
Practice Address - Fax:302-422-5383
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRO85825163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy