Provider Demographics
NPI:1861146474
Name:BONSER, WHITNEY MORGAN (AGACNP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MORGAN
Last Name:BONSER
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 SIKORSKI LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5449
Mailing Address - Country:US
Mailing Address - Phone:817-975-3960
Mailing Address - Fax:
Practice Address - Street 1:3417 GASTON AVE STE 875
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2032
Practice Address - Country:US
Practice Address - Phone:972-388-5970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1070671363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care