CARLOS EDUARDO BONILLA


Address: 1443 West 800 North, Suite #302, Orem, UT 84057-3658
Phone: 8012350953

CARLOS EDUARDO BONILLA (NPI# 1174032122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174032122
Entity Type Individual
Full Name CARLOS EDUARDO BONILLA
Other Name CARLOS EDUARDO BONILLA
Credential APRN
Practice Address 1443 West 800 North, Suite #302
Orem
UT 84057-3658
Mailing Address 3527 Newland Loop
Lehi
UT 84043-4617
Practice Telephone 8012350953
Mailing Telephone 8015929350
Enumeration Date 2017-09-21
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5250948-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
George E. Wahlen Va Salt Lake City Health Care System, 500 Foothill Blvd. (00qc), Salt Lake City, UT 84138 8015821565

Other Providers CARLOS BONILLA

NPI Name Taxonomy Address Enumeration
1174900393 Carlos Alejandro Bonilla Sr. Social Worker Carr 171 Km 3.9, Bo Rincon, Cidra, PR 00739 2015-04-27
1205076338 Carlos E Bonilla Dentist 2370 Maritime Dr, Elk Grove, CA 95758-3639 2009-03-02
1093127375 Carlos Bonilla Behavioral Analyst 8282 28th Ct Ne, Suite A, Lacey, WA 98516-7162 2014-05-21
1821361270 Carlos Eduardo Bonilla Counselor 1855 Olympic Blvd, Suite 225, Walnut Creek, CA 94596-5089 2012-02-15
1245508068 Carlos Daniel Bonilla Chiropractor 3900 Nw 79th Ave, Suite 201, Doral, FL 33166-6556 2011-12-07
1477872802 Carlos Bonilla Case Manager/Care Coordinator 673 San Jose Ave, San Francisco, CA 94110-4914 2010-05-25

Office Location

Street Address 1443 WEST 800 NORTH, SUITE #302
City OREM
State UT
Zip Code 84057-3658

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013529932 Jessica Chang Social Worker 870 W, Center, UT 84057 2020-08-21
1750991402 Dr. Alexander B. Larsen Dds Dentist 385 W. Center Street, Orem, UT 84057 2020-08-07
1750911996 Joanna Ramirez Behavioral Analyst 1443 West 800 North #103, Orem, UT 84057 2020-01-15
1790321842 Nicole Rose Mcdougal Speech-Language Pathologist 527 400 N, Ste 2, Orem, UT 84057 2019-11-25
1871151837 Robert B Fujiki Speech-Language Pathologist 1935 N90 W, Orem, UT 84057 2019-06-04
1669965562 Brian Quigley Inc. Hearing Instrument Specialist 895 West Center Street, Orem, UT 84057 2018-06-14
1568960250 Catherine Collins Nurse Practitioner 700 W. 800 N., Suite 220, Orem, UT 84057 2018-01-27
1821596073 Venice Lucia Wilkes Physician Assistant 700 W 800 N # 220, Orem, UT 84057 2018-01-23
1851811160 Jessie Carlson Behavior Technician 475 West 260 North, Orem, UT 84057 2017-06-27
1588013890 Li Ping Su Marriage & Family Therapist 1027 W 1033 N, S108, Orem, UT 84057 2016-06-07
Find all providers in zip 84057

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518575695 Rachael A Bennett Nurse Practitioner 735 N 550 W, Orem, UT 84057-3793 2020-07-15
1205476272 Rebecca Rae Oakley Nurse Practitioner 417 S Palisades Dr, Orem, UT 84097-6694 2020-01-08
1063973832 Holly Lee Carter Nurse Practitioner 1260 S 1600 W, Orem, UT 84058-4931 2019-03-26
1902371826 Jennifer Morgan Ellefsen Nurse Practitioner 800 W University Pkwy # Ms 200, Orem, UT 84058 2018-10-07
1700399573 Heidi Jensen Nurse Practitioner 495 S 1100 W, Orem, UT 84058-5831 2017-11-14
1649722893 Sarah Stocksdale Nurse Practitioner 378 S 1000 E, Orem, UT 84097-5711 2016-11-03
1689123481 Sophia Mae Larimer Nurse Practitioner 1043 N 920 W Apt 611, Orem, UT 84057-4102 2016-09-22
1962957407 Nicole Lamoreaux Nurse Practitioner 630 S 1810 W, Orem, UT 84058-4969 2016-08-24
1770980666 Rochelle Petersen Clive Nurse Practitioner 337 E University Pkwy, Orem, UT 84058-7639 2014-11-21
1720497597 Derrick Evan Pickering Nurse Practitioner 800 W University Parkway, Sc 221, Orem, UT 84058-3305 2014-08-06
Find all providers in OREM

Competitor

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City OREM
Zip Code 84057

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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