Individual provider · Type 1 NPI
Maria Bonanni, CRNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1821336140
Active
Practice location
3400 Civic Center Blvd, Ste 300-S
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306315-1 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | SP016764 (PA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP016764 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1821336140
Maria Bonanni, CRNP's National Provider Identifier is 1821336140, issued on Jan 21, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 3, 2019.