Individual
ELLEN BONVIE-HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
266 LANDING LN, BLUFFTON, SC 29909-6091
(617) 480-8624
Mailing address
266 LANDING LN, BLUFFTON, SC 29909-6091
(617) 480-8624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63415
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63415
RN LICENSE
SC
Enumeration date
01/05/2021
Last updated
01/05/2021
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