Individual provider · Type 1 NPI

Bonnie Caukins Revelle, MD

Neonatal-Perinatal Medicine Physician · Norfolk, VA

NPI number 1225087349 Active

Practice location

601 Childrens Ln
Norfolk, VA 23507-1910

Fax (757) 668-9255

Mailing address

811 Redgate Ave
Norfolk, VA 23507-1515

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X0101240729 (VA)
Pediatrics Physician 208000000X27288 (NC)
Neonatal-Perinatal Medicine Physician Primary 2080N0001X0101240729 (VA)

Neonatal-Perinatal Medicine Physician: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

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About NPI 1225087349

Bonnie Caukins Revelle, MD's National Provider Identifier is 1225087349, issued on May 8, 2006. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Norfolk, VA. The record was last updated on May 14, 2020.