Chanal Bonner, LPN is a
Licensed Practical Nurse based in Valrico, Florida. Chanal Bonner is licensed to practice in Florida (license number 5234520) and her current practice location is
1702 S Miller Rd, Valrico, Florida. She can be reached at her office (for appointments etc.) via phone at
(813) 758-5279.
NPI number for Chanal Bonner is 1053921106 and her current mailing address is 1702 S Miller Rd, Valrico, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053921106.
Provider's Profile
| Full Name | Chanal Bonner |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1702 S Miller Rd, Valrico, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053921106
- Provider Enumeration Date: 08/04/2020
- Last Update Date: 08/04/2020
Medical Identifiers
Medical identifiers for Chanal Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053921106 | NPI | - | NPPES |
| 5234520 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 5234520 (Florida) | Primary |
| 374J00000X | Doula | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanal Bonner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chanal Bonner, LPN
1702 S Miller Rd,
Valrico, FL 33594-4736
Ph: (813) 758-5279 | Chanal Bonner, LPN
1702 S Miller Rd,
Valrico, FL 33594-4736
Ph: (813) 758-5279 |
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