Individual
JANIS BONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
833 CHESTNUT STREET, SUITE 301, PHILADELPHIA, PA 19107-4405
(215) 955-7190
(215) 923-9186
Mailing address
833 CHESTNUT STREET, SUITE 301, PHILADELPHIA, PA 19107-4405
(215) 955-7190
(215) 923-9186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
TP004185B
PA
363LF0000X
Family Nurse Practitioner
Primary
TP004185B
PA
Other
Enumeration date
08/17/2006
Last updated
10/23/2014
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