Sally Diane Bonham
BSN, MSN, FNP, IBCLC | Nurse Practitioner
3500 Hillcrest Dr Ste 1, Waco
Texas, 76708-3144
254-741-6641
Sally Diane Bonham is a Waco, Texas based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Sally Diane Bonham is 1182184 for Family in Texas. Her current practice location is 3500 Hillcrest Dr Ste 1, Waco. Patients can reach her at 254-741-6641 or can fax her at 257-453-7469. Sally Diane Bonham is BSN, MSN, FNP, IBCLC with specialization in Nurse Practitioner 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 Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | BSN, MSN, FNP, IBCLC |
| Practice Address: | 3500 Hillcrest Dr Ste 1, Waco,
Texas, 76708-3144 |
| Phone: | 254-741-6641 |
| Fax: | 257-453-7469 |
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: | 29 Oct, 2025 |
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 Number | Specialization | State | Status | |
| 1182184 | Family | Texas | Primary | |
| 638280 | Registered Nurse | Texas | Secondary | |
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
101 W Louis Henna Blvd Ste 300,
Austin, Texas |
| Zip: | 78728-1203 |
| Phone Number: | 512-244-4272 |
| Fax Number: | 512-244-2895 |
Patients can reach Sally Diane Bonham at
3500 Hillcrest Dr Ste 1, Waco, Texas or can
call to book an appointment on 254-741-6641.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.