Individual
BONNIE MARIE PAINE
Active
Individual
BONNIE MARIE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
0110002143
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417027608
RMH GROUP NPI
VA
01
—
1447764857
TWELVESTONE GROUP NPI
VA
01
—
1538316203
GROUP NPI
VA
Enumeration date
01/10/2007
Last updated
05/22/2025
Update your record
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