Individual
MRS. BONNIE BARBOUR WIDENOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.A
Contact information
Practice address
155 WILSON AVE, ., WASHINGTON, PA 15301-3336
(724) 225-7000
Mailing address
150 ADLIN AVE, HOUSTON, PA 15342-1059
(724) 745-4916
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN215186L
PA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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