Individual
MRS. BAOKIM NGUYEN BONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17 WELLS ST STE 203, WESTERLY, RI 02891-2923
(401) 348-0660
(401) 348-3090
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01411
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841627353
—
RI
Enumeration date
09/28/2013
Last updated
12/17/2025
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