Individual provider · Type 1 NPI
Tressa Bonasso
Pediatric Nurse Practitioner · Fairmont, WV
NPI number
1124611454
Active
Practice location
23 Tresara Dr
Fairmont, WV 26554-8837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 106662 (WV) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Fairmont
About NPI 1124611454
Tressa Bonasso's National Provider Identifier is 1124611454, issued on Feb 17, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fairmont, WV. The record was last updated on Aug 23, 2023.