Doctor Name: | SHERRY BONNER |
NPI Number: | 1992751606 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | ND4843 |
Business Practice Address: | 1000 Mar Walt Dr Ft Walton Beach, FL - 325476708 |
Business Phone Number: | 8508637523 |
Business Fax Number: | 8503157987 |
Mailing Address: | 372 Okaloosa Rd Ne, FT WALTON BEACH |
State: | FL |
Postal Code: | 325485160 |
Phone Number: | 8508637523 |
Fax Number: | 8503157987 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND4843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |