Individual
SUSAN BONASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 554-8529
Mailing address
305 PARK ST, MORGANTOWN, WV 26501-7519
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
85048
WV
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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