# MARGARET HEFFERNAN BONIFACIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonifacio Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487096376
- **Authorized official:** MARGARET H BONIFACIO (OWNER/PROVIDER)
- **Authorized official phone:** (865) 387-2904

## Contact information

- **Practice address:** 307 N 5TH ST, MARYVILLE, TN 37804-2921
- **Practice address phone:** (865) 246-2104
- **Practice address fax:** (865) 246-2106
- **Mailing address:** PO BOX 5777, MARYVILLE, TN 37802-5777
- **Mailing address phone:** (865) 246-2104
- **Mailing address fax:** (865) 246-2106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APM0000017637 | TN | Yes |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 04/08/2026