Provider Demographics
NPI:1053726794
Name:LENYARD, BONNIE (PMHNP-BC, FNP-BC)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:LENYARD
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8433 N BLACK CANYON HWY STE 100-18
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4873
Mailing Address - Country:US
Mailing Address - Phone:602-228-0045
Mailing Address - Fax:602-560-8336
Practice Address - Street 1:8433 N BLACK CANYON HWY STE 100-18
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4873
Practice Address - Country:US
Practice Address - Phone:602-228-0045
Practice Address - Fax:602-560-8336
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTAP56632084P0800X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily