Provider Demographics
NPI:1609606755
Name:BONHOMME, CLAIRE (APRN)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:BONHOMME
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:BONHOMME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:715 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33034-4651
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:715 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33034-4651
Practice Address - Country:US
Practice Address - Phone:786-298-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily