Eddie Bonner is one of 125 nurse practitioners practicing in San Angelo, Texas .
Eddie Bonner practices with Shannon Clinic.
Registry record (NPPES)
NPI
1396045241
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
120 E Harris Ave
Enumerated
Oct 26, 2010
Record last updated
Jun 17, 2011
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
120 E Harris AveSan Angelo , TX 76903
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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