PHYLICIA BONHAM NPI 1184381766

NPI Information

NPI: 1184381766
Provider Name: PHYLICIA BONHAM
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 285-9670
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Phylicia Bonham is a psychiatric/mental health nurse practitioner in Charleston, SC. Phylicia Bonham NPI is 1184381766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-908
Phone: (843) 285-9670

The enumeration date for this NPI number is 11/18/2021 and was last updated on 4/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	25848	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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