Individual
BONNY A HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 596-0350
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP008526
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP008526
PA
Other
Enumeration date
05/27/2006
Last updated
01/25/2024
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