Individual
CAROL BONELLO HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9767
Mailing address
PO BOX 2715, BRANDON, FL 33509-2715
(813) 655-0292
(813) 655-4302
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 1644702
FL
Other
Enumeration date
07/16/2009
Last updated
05/08/2018
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