Doctor Name: | BONNIE L ENGEL |
NPI Number: | 1013930833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, CS |
License Number: | R20929 |
Business Practice Address: | 418 N 2nd St Bismarck, ND - 585013826 |
Business Phone Number: | 7012248783 |
Business Fax Number: | |
Mailing Address: | 700 N 19th St, BISMARCK |
State: | ND |
Postal Code: | 585014720 |
Phone Number: | 7012248783 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0807X |
License Number: | R20929 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |