Doctor Name: | MRS. DIADEMA LORENZO BONNELL |
NPI Number: | 1114255296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., MSN, CIC |
License Number: | RN-38458 |
Business Practice Address: | 480 Central Ave Naval Health Clinic Hawaii Pearl Harbor, HI - 968604908 |
Business Phone Number: | 8084711866 |
Business Fax Number: | 8084711855 |
Mailing Address: | 480 Central Ave, Naval Health Clinic Hawaii PEARL HARBOR |
State: | HI |
Postal Code: | 968604908 |
Phone Number: | 8084711866 |
Fax Number: | 8084711855 |
NPI Enumeration Date: | 11/30/2009 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WI0600X |
License Number: | RN-38458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Infection Control |
Taxonomy Definition: |