Individual
MRS. DENISE PATRICIA BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 CLEMENTI LN, METHUEN, MA 01844-6480
(978) 975-2683
Mailing address
7 CLEMENTI LN, METHUEN, MA 01844-6480
(978) 975-2683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
187044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0799858
PROVIDER NUMBER
MA
Enumeration date
03/21/2007
Last updated
07/08/2007
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