Individual provider · Type 1 NPI
Kelly Anne Bonafede
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1477244010
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
453 Hidden Oaks Dr
Yardley, PA 19067-5548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP026841 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477244010
Kelly Anne Bonafede's National Provider Identifier is 1477244010, issued on May 16, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 16, 2023.