Provider Demographics
NPI:1740918689
Name:BONSNESS, CATHY
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:BONSNESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:YUNKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1403 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WASHBURN
Mailing Address - State:ND
Mailing Address - Zip Code:58577-4217
Mailing Address - Country:US
Mailing Address - Phone:013-010-2347
Mailing Address - Fax:
Practice Address - Street 1:1403 MAIN AVE
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:ND
Practice Address - Zip Code:58577-4217
Practice Address - Country:US
Practice Address - Phone:701-301-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant