Individual provider · Type 1 NPI

Kathleen R. Bonaventura, APRN

Nurse Practitioner · Fairfield, CT

NPI number 1821062175 Active

Practice location

1305 Post Rd
Fairfield, CT 06824-6016

Fax (203) 255-5212

Mailing address

103 Thoreau Dr
Shelton, CT 06484-1638

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X002078 (CT)

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 1821062175

Kathleen R. Bonaventura, APRN's National Provider Identifier is 1821062175, issued on Feb 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfield, CT. The record was last updated on Mar 15, 2010.