Individual
MRS. CAITLIN THOMAS BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6453
Mailing address
11 JORDAN MILL CT, WHITE HALL, MD 21161-9032
(443) 690-1491
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R206319
MD
Other
Enumeration date
09/04/2020
Last updated
01/25/2023
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