Provider Demographics
NPI:1184920241
Name:BARE, BONNIE
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:BARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:727 FAIRVIEW DR
Mailing Address - Street 2:STE A
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701
Mailing Address - Country:US
Mailing Address - Phone:775-687-5018
Mailing Address - Fax:775-687-1181
Practice Address - Street 1:RURAL CLINICS BATTLE MOUNTAIN
Practice Address - Street 2:825 N. 2ND STREET
Practice Address - City:BATTLE MOUNTAIN
Practice Address - State:NV
Practice Address - Zip Code:89820-2834
Practice Address - Country:US
Practice Address - Phone:775-635-5753
Practice Address - Fax:775-635-8028
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor