Individual
MRS. MARGARET MARY BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS,PC
Contact information
Practice address
22 SPEAR STREET, QUINCY, MA 02169
(617) 770-4203
(617) 773-1972
Mailing address
22 SPEAR STREET, QUINCY, MA 02169
(617) 770-4203
(617) 773-1972
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
166473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0645
BCBS
MA
Enumeration date
08/08/2006
Last updated
07/08/2007
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