Individual
CORTNEY BONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1560 E MAPLE RD STE 290, TROY, MI 48083-1135
(248) 749-6630
Mailing address
59584 ACORN DR, WASHINGTON, MI 48094-1254
(586) 291-0096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704348293
MI
Other
Enumeration date
10/07/2021
Last updated
03/12/2024
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