Individual
BONNIE RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 971-3961
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 971-3961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101-0022621
VT
363LF0000X
Family Nurse Practitioner
Primary
214532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101-0022621
LICENSE
VT
01
—
NP214532
MASSACHUSETTS APN
MA
Enumeration date
11/14/2006
Last updated
11/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us