Individual provider · Type 1 NPI

Mia Bonilla, LPN

Licensed Practical Nurse · Boardman, OH

NPI number 1366971434 Active

Practice location

960 Boardman Canfield Rd
Boardman, OH 44512-4220

Mailing address

113 Baldwin St
Youngstown, OH 44505-2803

Other practice locations

  • 113 Baldwin St, Youngstown, OH 44505 · (330) 774-5871

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X132103 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

53 other providers at this address

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About NPI 1366971434

Mia Bonilla, LPN's National Provider Identifier is 1366971434, issued on Jun 12, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Boardman, OH. The record was last updated on Jul 21, 2022.