STEPHANIE BONILLA
NPI 1952184715
Licensed Practical Nurse in Taylorsville, UT

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 16, 2023

5983 S REDWOOD RD, TAYLORSVILLE, UT 84123(385) 800-3015 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2025, Aug 16, 2023 (2 updates tracked since 2023).

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Primary Taxonomy
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Individual
Female
Licensed Practical Nurse

About STEPHANIE BONILLA

This page provides the complete NPI Profile along with additional information for Stephanie Bonilla, a provider established in Taylorsville, Utah with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1952184715 assigned on August 2023. The practitioner's primary taxonomy code is 164W00000X with license number 130147473101 (UT). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1952184715 Verify this NPI
Provider Name: STEPHANIE BONILLA
Gender: Female
Entity Type: Individual
Location Address: 5983 S REDWOOD RD TAYLORSVILLE, UT 84123
Location Phone: (385) 800-3015
Mailing Address: 5983 S REDWOOD RD TAYLORSVILLE, UT 84123
Mailing Phone: (805) 200-1406
Is Sole Proprietor?: No
Enumeration Date: 08-16-2023
Last Update Date: 01-09-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: 130147473101
License State: UT
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.