Individual
DR. LEONIE LORRAINE ROSE BOVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, AGACNP-BC, FAHA
Contact information
Practice address
1330 HAILE ST, CAMDEN, SC 29020-3002
(803) 432-6771
Mailing address
PO BOX 23321, NEW YORK, NY 10087-0332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A27337
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
27337
SC
Other
Enumeration date
04/08/2017
Last updated
12/06/2024
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