Individual
BROOKANA KOREEN BONEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, PMHNP-BC
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-4673
(513) 536-0619
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.15039-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP.15039
OH
Other
Enumeration date
08/22/2013
Last updated
07/21/2022
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