Organization · Type 2 NPI

Margaret Heffernan Bonifacio

Psychiatric/Mental Health Nurse Practitioner · Maryville, TN

NPI number 1487096376 Active

Practice location

307 N 5th St
Maryville, TN 37804-2921

Fax (865) 246-2106

Mailing address

PO Box 5777
Maryville, TN 37802-5777

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPM0000017637 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1487096376

Margaret Heffernan Bonifacio's National Provider Identifier is 1487096376, issued on Jul 22, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Maryville, TN. The record was last updated on Apr 8, 2026.