Mrs. Bonnie Wilkerson PA-C
Physician Assistant in Elkhorn, NE(View on Map)
Full Name
Mrs. Bonnie Wilkerson PA-C
NPI Number
1033481312
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/02/2012
Specialties
(Taxonomies)Code
363A00000X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Nebraska
License Number
1631
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3755
717 N 190TH PLZ
City
Omaha
Elkhorn
State
NE
NE
Postal Code
68103-0755
68022-3913
Country
US
US
Telephone Number
(402) 354-2100
(402) 815-1700
Identifiers
Identifier
47068731799
10026480100
10026301600
Identifier State
NE
NE
NE
Identifier Issuer
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/17/2016