Nichelle Bonam, is a
Licensed Practical Nurse based in Bellflower, California. Nichelle Bonam is licensed to practice in California (license number 708047) and her current practice location is
17114 Passage Ave Apt 108, Bellflower, California. She can be reached at her office (for appointments etc.) via phone at
(562) 619-0483.
NPI number for Nichelle Bonam is 1821679242 and her current mailing address is 17114 Passage Ave Apt 108, Bellflower, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821679242.
Provider's Profile
| Full Name | Nichelle Bonam |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 17114 Passage Ave Apt 108, Bellflower, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821679242
- Provider Enumeration Date: 04/16/2021
- Last Update Date: 04/16/2021
Medical Identifiers
Medical identifiers for Nichelle Bonam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821679242 | NPI | - | NPPES |
| NA | Other | CA | NA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 708047 (California) | Primary |
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. Nichelle Bonam 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 |
|---|
Nichelle Bonam,
17114 Passage Ave Apt 108,
Bellflower, CA 90706-5561
Ph: (562) 619-0483 | Nichelle Bonam,
17114 Passage Ave Apt 108,
Bellflower, CA 90706-5561
Ph: (562) 619-0483 |
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