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Bonny Holm, LPN

NPI 1043336183 · on the registry since 2007 · sole proprietor

Practice

Address: 167 S Santa Claus Ln
North Pole, AK 99705
Phone: (907) 488-8555
Fax: (907) 488-8556
Organisation at this address: North Pole Prescription Laboratory Inc
Moose'S Tooth Children'S Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Licensed Practical Nurse
164W00000X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska