Individual provider · Type 1 NPI
Caitlin Thomas Bonomo, CPNP-AC
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1699389858
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
11 Jordan Mill Ct
White Hall, MD 21161-9032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R206319 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1699389858
Caitlin Thomas Bonomo, CPNP-AC's National Provider Identifier is 1699389858, issued on Sep 4, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jan 25, 2023.