Individual provider · Type 1 NPI

Deaxtra Bonham, WHNP

Women's Health Nurse Practitioner · Atlanta, GA

NPI number 1487100566 Active

Practice location

550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240

Fax (404) 872-3119

Other practice locations

  • 15425 Warwick Blvd Ste H, Newport News, VA 23608-1579 · (757) 874-8400
  • 4714 Marshall Ave, Newport News, VA 23607 · (757) 380-8709
  • 4714 Marshall Ave, Newport News, VA 23607 · (757) 380-8709

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102X0024173381 (VA)
Women's Health Nurse Practitioner 363LW0102X5009520 (NC)
Women's Health Nurse Practitioner Primary 363LW0102XGAA-NP000016 (GA)

Women's Health Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1487100566

Deaxtra Bonham, WHNP's National Provider Identifier is 1487100566, issued on Aug 29, 2016. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Atlanta, GA. The record was last updated on Dec 6, 2021.