IndividualActive
Carlos Bonilla, APRN
NPI 1174032122 · Family Nurse Practitioner · Orem, UT
Provider details
- NPI number
- 1174032122
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5250948-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1443 West 800 North, Suite #302
Orem, UT 84057-3658
Phone: (801) 235-0953
Street-level locationGet directions
Mailing address
3527 Newland Loop
Lehi, UT 84043-4617
Additional practice locations (1)
- George E. Wahlen Va Salt Lake City Health Care System500 Foothill Blvd. (00qc)Salt Lake City, UT 84138Phone: (801) 582-1565
Registry dates
- Enumerated
- 2017-09-21
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.