Individual ProviderVicki Ann BonoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1505 S 7th St, Louisville, KY 40208-1710(502) 637-1005PECOS EnrollmentBased on the most recent information from CMS, provider Vicki Ann Bono does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1720263015Provider TypeIndividualFull NameBono, Vicki AnnCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/4/2008Last Updated4/4/2008Contact InformationPractice LocationPractice Address1505 S 7th St, Louisville, KY 40208-1710Phone(502) 637-1005Fax(502) 637-5631Mailing LocationMailing Address1505 S 7th St, Louisville, KY 40208-1710Phone(502) 637-1005Fax(502) 637-5631Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5449PKentucky