Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Bonner, RN, MS, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1265774517

Alice Bonner, RN, MS, AGPCNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2875 Broadway Fl 2
New York, NY 10025-7846
Phone: (212) 523-1600
Fax: (212) 824-2311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F306802 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 657599 (NY)

Record details

NPI number1265774517
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MS , AGPCNP-BC
Sole proprietorYes
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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