Individual provider · Type 1 NPI

Bonita Wegenast, LMP

Specialist · Friday Harbor, WA

NPI number 1154627958 Active

Practice location

580 Guard St
Friday Harbor, WA 98250-8044

Mailing address

153 Cordova Ln
Friday Harbor, WA 98250-8435

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00014562 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154627958

Bonita Wegenast, LMP's National Provider Identifier is 1154627958, issued on Jan 27, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Friday Harbor, WA. The record was last updated on Jan 27, 2011.