Individual provider · Type 1 NPI

Nicole Bonanni, PA-C

Physician Assistant · Annapolis, MD

NPI number 1235534645 Active

Practice location

180 Admiral Cochrane Dr Ste 430
Annapolis, MD 21401-8405

Call (410) 339-0760 Map

Fax (410) 263-7482

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice locations

  • 810 Landmark Dr Ste 120-122, Glen Burnie, MD 21061-4987 · (443) 351-3376
  • 7671 Quarterfield Rd Ste 200B, Glen Burnie, MD 21061-4407 · (441) 351-3376
  • 7671 Quarterfield Rd Ste 200A, Glen Burnie, MD 21061-4407 · (443) 351-3376
  • 4 Caulk Ln Ste B, Easton, MD 21601-3808 · (410) 822-8223

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0005565 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235534645

Nicole Bonanni, PA-C's National Provider Identifier is 1235534645, issued on Oct 28, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Annapolis, MD. The record was last updated on Jul 30, 2026.