Individual provider · Type 1 NPI

Harley Bonniville, CPNP-PC

Pediatric Nurse Practitioner · Williamsburg, VA

NPI number 1700501830 Active

Practice location

119 Bulifants Blvd
Williamsburg, VA 23188-5747

Mailing address

2513 Spring Bridge Pl
Sandston, VA 23150-4409

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X0024184256 (VA)

Pediatric Nurse Practitioner: Definition to come...

16 other providers at this address

Other pediatric nurse practitioner providers in Williamsburg

See all in Williamsburg →

About NPI 1700501830

Harley Bonniville, CPNP-PC's National Provider Identifier is 1700501830, issued on Oct 11, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Williamsburg, VA. The record was last updated on Oct 11, 2022.