Sally Diane Bonham

BSN, MSN, FNP, IBCLC | Nurse Practitioner

1400 8th Ave, Fort Worth
  Texas, 76104-4110
817-648-1765
May or may not accept Medicare Nurse Anesthetist in Fort Worth, Texas.
Sally Diane Bonham is a Fort Worth, Texas based nurse practitioner. Active license number of Sally Diane Bonham is 1182184 for Family in Texas. Her current practice location is 1400 8th Ave, Fort Worth. Patients can reach her at 817-648-1765. Sally Diane Bonham is BSN, MSN, FNP, IBCLC and her NPI number (Unique professional ID assigned by NPPES) is 1811750078.
Sally Diane Bonham has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Sally Diane Bonham speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Sally Diane Bonham
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: BSN, MSN, FNP, IBCLC
Practice Address:1400 8th Ave, Fort Worth,
Texas, 76104-4110
Phone:817-648-1765
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1811750078
NPI Enumeration Date: 31 Jan, 2024
NPI Last Update On: 20 Dec, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sally Diane Bonham are as mentioned below.
License NumberSpecializationStateStatus
1182184Family TexasPrimary
638280Registered Nurse TexasSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Sally Diane Bonham
169 Private Road 1400 S,
Morgan, Texas
Zip: 76671-3283
Phone Number: 817-648-1765
Patients can reach Sally Diane Bonham at 1400 8th Ave, Fort Worth, Texas or can call to book an appointment on 817-648-1765.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.