Individual
HOLLY ANN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
325-41 CHESTNUT STREET, SUITE 800, PHILADELPHIA, PA 19106
(551) 295-8223
Mailing address
203 PILGRIM LN, DREXEL HILL, PA 19026-4913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
242454
GA
363LF0000X
Family Nurse Practitioner
Primary
SP025474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154602A
—
GA
01
—
RN242454
STATE LICENSE NUMBER
GA
Enumeration date
11/13/2014
Last updated
05/01/2026
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