Provider Demographics
NPI:1538192661
Name:SKLAREN, BONNIE CLAIRE (ARNP)
Entity type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:CLAIRE
Last Name:SKLAREN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5950 PELICAN BAY PLZ S
Mailing Address - Street 2:PH1F
Mailing Address - City:GULFPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33707-6900
Mailing Address - Country:US
Mailing Address - Phone:727-347-1738
Mailing Address - Fax:727-347-1738
Practice Address - Street 1:9210 FLORIDA PALM DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4352
Practice Address - Country:US
Practice Address - Phone:813-249-4277
Practice Address - Fax:813-246-4654
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1585812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily