Dr OTTO JOSEPH BONIN JR. NP is a male medical professional, specializing in Nurse Practitioner. He graduated in 2004.
1215 INDEPENDENCE BLVD
SUITE 1A
ZACHARY
LA
707917391
Tel:
| Npi | 1558368316 |
| Pac Id | 4284614694 |
| Professional Enrollment Id | I20040724000181 |
| Last Name | BONIN |
| First Name | OTTO |
| Middle Name | JOSEPH |
| Suffix | JR. |
| Gender | M |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1215 INDEPENDENCE BLVD |
| Line 2 Street Address | SUITE 1A |
| Marker Of Address Line 2 Suppression | |
| City | ZACHARY |
| State | LA |
| Zip Code | 707917391 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190020 |
| Hospital Affiliation Lbn 1 | LANE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 190064 |
| Hospital Affiliation Lbn 2 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.