Individual
SHEA BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
651 COLLIERS WAY, SUITE 409, WEIRTON, WV 26062-5053
(304) 723-7127
Mailing address
651 COLLIERS WAY, SUITE 409, WEIRTON, WV 26062-5053
(304) 723-7127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APPRN71036
WV
363LF0000X
Family Nurse Practitioner
COA 17024-NP
OH
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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