BONNIE NADAENE GRUDE

SHAWNEE, OK
NPI1154905321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  201526)
Enumeration Date2021-05-12
Last Update Date2025-04-01
Business Address
BONNIE NADAENE GRUDE
3700 N KICKAPOO AVE
SHAWNEE, OK 74804-1707
Phone number: 405-273-6383
Mailing Address
BONNIE NADAENE GRUDE
701 NE 36TH ST
OKLAHOMA CITY, OK 73105-7203
Phone number: