Individual provider · Type 1 NPI
Bonna Pearl Maynigo, NP
Primary Care Nurse Practitioner · Chesapeake, VA
NPI number
1265110209
Active
Practice location
2908 Sir Thomas Dr
Chesapeake, VA 23321-4580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 0024187441 (VA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1265110209
Bonna Pearl Maynigo, NP's National Provider Identifier is 1265110209, issued on Jul 10, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 10, 2023.