Individual
TERRI BONSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
110 WEST RD, SUITE 210, TOWSON, MD 21204-2316
(410) 296-4616
(410) 337-5068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R061285
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553371600
—
MD
01
—
R061285
STATE LICENSE
MD
Enumeration date
08/15/2005
Last updated
06/15/2010
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