Individual
MICHAEL BONSAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
625 N 6TH ST STE 300, PHOENIX, AZ 85004-3066
(602) 406-8222
(602) 604-4722
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5585
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5858852
AETNA
AZ
01
—
P01724911
RR MEDICARE
AZ
Enumeration date
06/09/2014
Last updated
04/15/2026
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