Provider Demographics
NPI:1053382408
Name:STUHLMILLER, BONITA MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:BONITA
Middle Name:MARIE
Last Name:STUHLMILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35241
Mailing Address - Street 2:
Mailing Address - City:FT WAINWRIGHT
Mailing Address - State:AK
Mailing Address - Zip Code:99703-0241
Mailing Address - Country:US
Mailing Address - Phone:907-353-5143
Mailing Address - Fax:907-353-4830
Practice Address - Street 1:800 IRVING AVE
Practice Address - Street 2:ATTN: VA EMERGENCY ROOM
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2716
Practice Address - Country:US
Practice Address - Phone:315-425-4400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY531908-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse