Individual
PATRICIA BONASERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20704 W HAMILTON ST, BUCKEYE, AZ 85396-7774
(623) 308-5899
Mailing address
20704 W HAMILTON ST, BUCKEYE, AZ 85396-7774
(623) 308-5899
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RNP254167
AZ
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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