Individual provider · Type 1 NPI
Ronald August Bonaventura Jr.
Family Nurse Practitioner · St. Clair Shores, MI
NPI number
1063880573
Active
Practice location
22432 Harper Lake Ave
St. Clair Shores, MI 48080-4041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704286546 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063880573
Ronald August Bonaventura Jr.'s National Provider Identifier is 1063880573, issued on Sep 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Sep 14, 2015.