Uaketha Bonner

Driver · Slidell, LA

Individual Active NPI

NPI number 1518795079

Practice location

1037 William Dr
Slidell, LA 70460-3992

Phone: (601) 365-4030

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NPI record

NPI: 1518795079
Entity type: Individual (Type 1)
Enumeration date: July 24, 2024
Last updated: July 24, 2024
Certified: July 24, 2024
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Driver Primary	`172A00000X`	011652115	LA

About Uaketha Bonner

Uaketha Bonner is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 1037 William Dr, Slidell, LA 70460-3992. The NPI number 1518795079 was assigned on July 24, 2024 and the record was last updated on July 24, 2024.

Uaketha Bonner lists a license in the registry: #011652115 (LA) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Uaketha Bonner?

The NPI number is 1518795079.

What is the phone number of Uaketha Bonner?

The phone number listed for the practice location is (601) 365-4030.

Where is Uaketha Bonner located?

1037 William Dr, Slidell, LA 70460-3992.

What is the taxonomy code for Uaketha Bonner?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.