Individual
SAMANTHA BONVEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 W PENNSYLVANIA AVE, BEL AIR, MD 21014-3660
(410) 929-6051
Mailing address
838 N MARLYN AVE, ESSEX, MD 21221-2122
(410) 830-9474
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95026943
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R225889
MD
Other
Enumeration date
09/19/2023
Last updated
04/21/2026
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