Provider Demographics
NPI:1134941107
Name:TERMINE-BONNER, FELICIA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:TERMINE-BONNER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GOLF DR
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-2818
Mailing Address - Country:US
Mailing Address - Phone:321-394-6464
Mailing Address - Fax:
Practice Address - Street 1:5 GOLF DR
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-2818
Practice Address - Country:US
Practice Address - Phone:321-394-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25272662163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant