Individual provider · Type 1 NPI
Neleen Tibayan Bonilla, CRNP
Nurse Practitioner · Baltimore, MD
Practice location
900 Caton Avenue, Mailbox 009
Baltimore, MD 21229
Fax (667) 234-3556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R177132 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1760879738
Neleen Tibayan Bonilla, CRNP's National Provider Identifier is 1760879738, issued on Apr 17, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 16, 2026.