Individual
MRS. BONNIE ANN WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2905 US ROUTE 30, GEORGETOWN, PA 15043-1133
(724) 573-5509
Mailing address
2905 US ROUTE 30, GEORGETOWN, PA 15043-1133
(724) 573-5509
(724) 775-3510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN311572L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP007843
PA
Other
Enumeration date
09/20/2006
Last updated
05/01/2012
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