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BONITA LOIS MARTIN NP
NPI 1053950113
Nurse Practitioner - Gerontology in De Queen, AR

Active since January 06, 2020
500 E COLLIN RAYE DR, DE QUEEN, AR 71832(870) 584-1055 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2020, Jan 6, 2020 (2 updates tracked since 2020).

About Bonita Lois Martin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONITA LOIS MARTIN NP (NPI 1053950113) is an individual gerontology provider in De Queen, Arkansas, licensed in Arkansas (123723) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1053950113
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameBONITA LOIS MARTINCredential: NP
Location Address500 E COLLIN RAYE DRDe Queen, AR 71832-8048
Mailing Address358 Bridge Creek RdHoratio, AR 71842-9000 · (870) 784-2729
Phone(870) 584-1055
Sole ProprietorNo
Enumeration DateJanuary 6, 2020
Last NPPES UpdateFebruary 11, 20202 updates tracked since enumeration
✔ NPI 1053950113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AR · 123723
500 E COLLIN RAYE DR, De Queen, AR 71832
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY RENEE GILLIHAN APRN, FNP-C
Nurse Practitioner (Family)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 584-3627
DR. CANDACE MICHELLE WHITLEY PHARMD
Pharmacist
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 642-5680
DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC
Family Medicine
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 584-3627
LANSDELL FAMILY CLINIC PLLC
Nurse Practitioner (Family)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 584-1053
LANSDELL ENTERPRISE CORP
Family Medicine
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 584-1055
GINA RICHARDSON PHARM. D.
Pharmacist
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 642-5680
PRUETTS FOOD INC
Pharmacy (Community/Retail Pharmacy)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 642-5680
KATY ANN MOSS
Nurse Practitioner (Family)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 584-1053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonita Martin's NPI number?

The NPI number for Bonita Martin is 1053950113. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Bonita Martin located?

Bonita Martin practices at 500 E Collin Raye Dr, De Queen, AR 71832. The listed phone number is (870) 584-1055.

What is Bonita Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Bonita Martin was last updated on February 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.