Individual provider · Type 1 NPI

Edwin A. Bonilla, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Westfield, NJ

NPI number 1972247104 Active

Practice location

354 South Ave E
Westfield, NJ 07090-1788

Other practice locations

  • 520 Convery Blvd, Perth Amboy, NJ 08861-3021 · (732) 826-9222

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ01308100 (NJ)
Registered Nurse 163W00000X26NR16611700 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1972247104

Edwin A. Bonilla, PMHNP's National Provider Identifier is 1972247104, issued on Apr 25, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Westfield, NJ. The record was last updated on May 23, 2022.