Organization
SPECTRUM WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA BONNER PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(919) 645-7138
Entity
Organization
Contact information
Practice address
2307 W CONE BLVD STE 140, GREENSBORO, NC 27408-4063
(919) 645-7138
Mailing address
2307 W CONE BLVD STE 140, GREENSBORO, NC 27408-4063
(919) 645-7138
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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