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

Lisa Bonacum, FNP-C

Individual provider Registered Nurse · NPI 1447173141

Lisa Bonacum, FNP-C is a Registered Nurse in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1401 S Anaheim Blvd
Anaheim, CA 92805-6214
Phone: (714) 772-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95038870 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 811217 (CA)

Record details

NPI number1447173141
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJuly 31, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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