Organization
ADVANCED PURE WELLNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA BONK CRNP (OWNER)
(267) 724-9300
Entity
Organization
Contact information
Practice address
81 BIG OAK RD, YARDLEY, PA 19067-7801
(267) 724-9300
Mailing address
81 BIG OAK RD, YARDLEY, PA 19067-7801
(267) 724-9300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
10/22/2024
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