MRS. Deaxtra Bonham, WHNP is a women's health nurse practitioner in Atlanta, GA. MRS. Deaxtra Bonham, WHNP NPI is 1487100566. 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:
550 PEACHTREE ST NE STE 1275
ATLANTA, GA
ZIP 30308-240
Phone: (404) 872-3121
Fax: (404) 872-3119
The NPI 1487100566 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/29/2016 and was last updated on 12/6/2021.