MRS. BRIDGET ANTONIA BONELLO FPN NPI 1184942138

NPI Information

NPI: 1184942138
Provider Name: MRS. BRIDGET ANTONIA BONELLO, FPN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3333 BIDDLE AVE
WYANDOTTE, MI
ZIP 48192
Phone: (734) 285-2405
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MRS. Bridget Antonia Bonello, FPN is an adult health nurse practitioner in Wyandotte, MI with 15 years of experience. MRS. Bridget Antonia Bonello, FPN NPI is 1184942138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

3333 BIDDLE AVE
WYANDOTTE, MI
ZIP 48192-284
Phone: (734) 285-2405

The NPI 1184942138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 5/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4704195983	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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