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Individual

KARIN MICHELE BONFILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
160706
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
4146
SC
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.04187
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2052139
OH
05
2605607
NC
05
8051752
NC
Enumeration date
06/07/2006
Last updated
03/18/2024
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