Individual
MRS. MARGARET H BONIFACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
9325 S NORTHSHORE DR, KNOXVILLE, TN 37922-6548
(865) 387-2904
(865) 246-2106
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0000017637
TN
Other
Enumeration date
06/13/2013
Last updated
11/14/2017
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