Individual
BONY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
558 S PASEO DOROTEA STE 6, PALM SPRINGS, CA 92264-1429
(760) 423-4000
Mailing address
620 S THORNHILL RD APT 1, PALM SPRINGS, CA 92264-2725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.023999
IL
363L00000X
Nurse Practitioner
Primary
95022391
CA
Other
Enumeration date
12/08/2021
Last updated
08/31/2023
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