Search › Mississippi › 364SF0001X
Sandra Bonom, CFNP
NPI 1285815548 · on the registry since 2007 · sole proprietor
Practice
- Address
- 126 Pine Ridge Cir
Brandon, MS 39047 - Phone
- (601) 829-3734
Registry record
- Primary taxonomy
- 364SF0001X
364SF0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi