Individual provider · Type 1 NPI

Bonita A. Spade, FNP, CDE

Adult Health Nurse Practitioner · North Charleston, SC

NPI number 1861569329 Active

Practice location

2845 Tricom St
North Charleston, SC 29406-9172

Fax (843) 553-1498

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR64665 (SC)

Adult Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1861569329

Bonita A. Spade, FNP, CDE's National Provider Identifier is 1861569329, issued on Nov 29, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in North Charleston, SC. The record was last updated on Jul 9, 2007.