Provider Demographics
NPI:1205425709
Name:WEEKS, BONNIE CHRISTINE (FNP-C)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:CHRISTINE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:WEEKS
Other - Last Name:ESPOSITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3107 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-6109
Mailing Address - Country:US
Mailing Address - Phone:252-723-1715
Mailing Address - Fax:
Practice Address - Street 1:3510 JOHN PLATT DR
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4321
Practice Address - Country:US
Practice Address - Phone:252-726-0511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily