Individual
BONITA L. BUDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 S 25TH ST, ALLENTOWN, PA 18104-6609
(610) 433-3644
Mailing address
525 S 25TH ST, ALLENTOWN, PA 18104-6609
(610) 433-3644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN197291L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
047724
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463827
HIGHMARK
PA
Enumeration date
09/15/2005
Last updated
12/01/2011
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