Individual
ALEXANDRA BONOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2058 BORGATA LOOP, LONGS, SC 29568-5756
(845) 522-7267
Mailing address
2058 BORGATA LOOP, LONGS, SC 29568-5756
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
247546
SC
363L00000X
Nurse Practitioner
Primary
27618
SC
Other
Enumeration date
05/22/2023
Last updated
07/28/2023
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