| Sally Diane Bonham, BSN, MSN, FNP, IBCLC | |
|
3500 Hillcrest Dr Ste 1, Waco, TX 76708-3144 | |
| (254) 741-6641 | |
| (257) 453-7469 |
| Full Name | Sally Diane Bonham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3500 Hillcrest Dr Ste 1, Waco, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811750078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WL0100X | Registered Nurse - Lactation Consultant | 638280 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1182184 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark Malone Md Pa | 2567369424 | 98 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Diane Bonham, BSN, MSN, FNP, IBCLC 101 W Louis Henna Blvd Ste 300, Austin, TX 78728-1203 Ph: (512) 244-4272 | Sally Diane Bonham, BSN, MSN, FNP, IBCLC 3500 Hillcrest Dr Ste 1, Waco, TX 76708-3144 Ph: (254) 741-6641 |
Leslie P Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Gurley Lane, Waco, TX 76706 Phone: 254-313-6000 Fax: 254-313-4531 | |
Tyler Adam Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 877-724-5437 | |
Eidel Nerli Adams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 | |
Manita Lamichhane, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1311 S 5th St, Waco, TX 76798 Phone: 254-710-2292 | |
Emily Heeringa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Jared Blake Griffin, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2900 | |
Mrs. Lori Anne Welch, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7300 Bosque Blvd, Waco, TX 76710 Phone: 254-202-2600 |