IndividualActive
Bonnie Brannock
NPI 1093255267 · Student in an Organized Health Care Education/Training Program · Colville, WA
Provider details
- NPI number
- 1093255267
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
- License
- NC10069713 (WA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense NC10069713 (WA)
Student, Health Care
Nursing Service Related Providers
Practice location
165 E Hawthorne Ave
Colville, WA 99114-2629
Phone: (509) 684-4597
Fax: (509) 684-5286
Approximate (ZIP-level) locationGet directions
Mailing address
165 E Hawthorne Ave
Colville, WA 99114-2629
Registry dates
- Enumerated
- 2017-03-07
- Last updated
- 2018-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.