Individual provider · Type 1 NPI

Lori Bonafede

Family Nurse Practitioner · Scranton, PA

NPI number 1134536105 Active

Practice location

743 Jefferson Ave, Suite 203
Scranton, PA 18510-1635

Fax (570) 344-3158

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702

Other practice locations

  • 640 Madison Ave, Scranton, PA 18510-1631 · (570) 961-5500

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP013243 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1134536105

Lori Bonafede's National Provider Identifier is 1134536105, issued on Jul 22, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Scranton, PA. The record was last updated on Jun 24, 2019.