Individual
LAURA BETH BONACORE
Active
Individual
LAURA BETH BONACORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702003
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04549579
—
NY
Enumeration date
02/22/2008
Last updated
08/12/2020
Update your record
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