Female

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

Provider Address

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