Tara E Bonardi
Tara E Bonardi is a Certified Registered Nurse Anesthetist (CRNA) in Kodiak, Alaska. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Washington, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.
- Years since qualifying
- 7
- Licensed in
- AK
- In the registry since
- 2019
Practice location Address checks out
1915 E Rezanof DrKodiak, AK 99615-6602
Phone: (774) 239-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 214 W Rezanof Dr, Kodiak, AK 99615-6044 — (774) 239-4106
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 148835 (AK) |
|---|
Record details
| NPI number | 1528615424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2019 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
| Mailing address | 3527 Woodland Dr, Kodiak, AK 99615-7017 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Providence Health And Services Washington — 31 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kodiak
-
Scott Allen Carver, CRNA
1915 E Rezanof Dr, Kodiak, AK 99615-6602 · (907) 486-3281
-
Mary Kathleen Magnusen, CRNA
1915 E Rezanof Dr, Kodiak, AK 99615 · (907) 486-9500
-
Cynthia M Parent
1915 E Rezanof Dr, Kodiak, AK 99615-6602 · (907) 223-7513