Individual
BRIAN BONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
909 GORMAN AVE STE 6, ELKINS, WV 26241-3100
(304) 637-3630
Mailing address
909 GORMAN AVE STE 6, ELKINS, WV 26241-3100
(304) 637-3630
(304) 637-5605
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95042
WV
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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