| Doctor Name: | MS. BROOKE E. BONOW |
| NPI Number: | 1114266541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FNP-C |
| License Number: | 3007817 |
| Business Practice Address: | 125 Saint Michael Dr Cold Spring, KY - 410763566 |
| Business Phone Number: | 8597814111 |
| Business Fax Number: | 8594415214 |
| Mailing Address: | 2300 Chamber Center Drive, Suite 200 HEBRON |
| State: | KY |
| Postal Code: | 410487233 |
| Phone Number: | 8593445555 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2013 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007817 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |