Miss Bonnie L Servage, ANP
Adult Health Nurse Practitioner in Watertown, New York
NPI 1093718066

Bonnie L Servage is an Adult Health Nurse Practitioner based in Watertown, NY and is specialized in Adult Health. Bonnie L Servage practices in Watertown, NY and has the professional credentials of ANP. The NPI Number for Bonnie L Servage is 1093718066 and holds a License No. F303309 (New York).

The current practice location address for Bonnie L Servage is 53-59 Public Sq, Watertown, NY and can be reached out via phone at 315-782-2141 and via fax at315-782-5123. You can also correspond with Bonnie L Servage through the mailing address at 53-59 PUBLIC SQ, WATERTOWN, NY - 13601-2674 (mailing address contact number: 315-782-2141).

person
Provider Profile Details
NPI Number
1093718066
Provider Name
Bonnie L Servage
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
53-59 Public Sq, Watertown, NY, 13601-2674
Phone Number
315-782-2141
Fax Number
315-782-5123
Provider Enumeration Date
05/24/2005
Last Update Date
10/25/2007
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Provider's Legacy Identifiers
Identifier Type State Issuer
02331175 05 NY
7599474 01 NY GHI
institution
Provider Business Practice Location Address Details
Address
53-59 Public Sq
City
Watertown
State
New York
Zip
13601-2674
Phone Number
315-782-2141
Fax Number
315-782-5123
person
Provider Business Mailing Address Details
Address
53-59 Public Sq
City
Watertown
State
New York
Zip
13601-2674
Phone Number
315-782-2141
Fax Number
315-782-5123
person
Provider's Primary Taxonomy Details
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F303309 (New York)
Definition
Definition to come...

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