Provider Demographics
NPI:1023475282
Name:BONDS, SCHADREY L I (NP-C)
Entity type:Individual
Prefix:
First Name:SCHADREY
Middle Name:L
Last Name:BONDS
Suffix:I
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 BURNHAM AVE STE 128
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5400
Mailing Address - Country:US
Mailing Address - Phone:702-640-0878
Mailing Address - Fax:725-204-5647
Practice Address - Street 1:4275 BURNHAM AVE STE 128
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5400
Practice Address - Country:US
Practice Address - Phone:702-640-0878
Practice Address - Fax:725-204-5647
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20243245169207QA0505X
NVAPRN002103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1023475282Medicaid