MRS. NYASHA PAMELA MARIE BONNER NP NPI 1578633954

NPI Information

NPI: 1578633954
Provider Name: MRS. NYASHA PAMELA MARIE BONNER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 615-5610
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MRS. Nyasha Pamela Marie Bonner, NP is a family nurse practitioner in Fayetteville, NC with 27 years of experience. MRS. Nyasha Pamela Marie Bonner, NP NPI is 1578633954. 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:

1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-424
Phone: (910) 615-5610

The NPI 1578633954 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 11/9/2006 and was last updated on 3/30/2023.

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	163W00000X	Registered Nurse		4704158472	MICHIGAN	No
2	363L00000X	Nurse Practitioner		5011349	NORTH CAROLINA	No
3	367A00000X	Advanced Practice Midwife		255825	MASSACHUSETTS	No
4	367A00000X	Advanced Practice Midwife		RN126828	GEORGIA	No
5	363LF0000X	Nurse Practitioner	Family	RN126828	GEORGIA	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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