Individual provider · Type 1 NPI
Sarah Bonasso, PNP
Pediatric Nurse Practitioner · Fairmont, WV
NPI number
1780167387
Active
Practice location
101 Tygart Mall Loop Ste 102A
Fairmont, WV 26554-2972
Fax (304) 599-8003
Mailing address
1247 Suncrest Town Centre Dr
Morgantown, WV 26505-1876
Other practice locations
- 1247 Suncrest Town Centre Dr, Morgantown, WV 26505-1876 · (304) 599-8000
- 9000 Coombs Farm Rd, Morgantown, WV 26508-1149 · (304) 599-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 85838 (WV) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Fairmont
About NPI 1780167387
Sarah Bonasso, PNP's National Provider Identifier is 1780167387, issued on Sep 10, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fairmont, WV. The record was last updated on Apr 12, 2022.