| Bonnie Boyette-peterson, APRN-C | |
|
4300 Sw 13th St, Gainesville, FL 32608-4006 | |
| (352) 374-5600 | |
| Not Available |
| Full Name | Bonnie Boyette-peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 4300 Sw 13th St, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194874669 | NPI | - | NPPES |
| 301875000 | Medicaid | FL | |
| LT773 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | APRN1095542 (Florida) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP 1095542 (Florida) | Secondary |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932174240 PECOS PAC ID: 3072424282 Enrollment ID: O20040825001552 |
| Entity Name | Meridian Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Boyette-peterson, APRN-C 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 | Bonnie Boyette-peterson, APRN-C 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Holly Willis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd., Gainesville, FL 32608 Phone: 352-548-6000 |