Active NPIIndividual providerSole proprietor

Bonnie Hataley, PA

Physician Assistant, Medical in Hamden, Connecticut

NPI Number1194869719
Practice location
20 Valley View CT, Hamden, CT 06518-2751
Fax
—
Last updated
July 23, 2014

Bonnie Hataley is a Physician Assistant, Medical based in Hamden, CT. Bonnie Hataley practices in Hamden, CT and has the professional credentials of PA. The NPI Number for Bonnie Hataley is 1194869719 and holds a License No. 000908 (CT). The current practice location address for Bonnie Hataley is 20 Valley View CT, Hamden, CT 06518-2751 and can be reached out via phone at 203-507-2060.

Provider Profile Details

NPI Number
1194869719
Provider Name
Bonnie Hataley
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
20 Valley View CT, Hamden, CT 06518-2751
Phone Number
203-507-2060
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Other Names
-- Bonnie Bauerfeld, PA (Former Name)
Provider Enumeration Date
February 16, 2007
Last Update Date
July 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Valley View CT
Hamden, CT 06518-2751
City
Hamden
Zip
06518-2751
Phone Number
203-507-2060
Hamden, CT 06518Get directions →

Provider Business Mailing Address Details

Address
20 Valley View CT
Hamden, CT 06518-2751
City
Hamden
State
CT
Zip
06518-2751
Phone Number
203-507-2060

License Information

License Number
000908
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bonnie Hataley, PA?

The NPI number of Bonnie Hataley, PA is 1194869719. It was assigned on February 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Bonnie Hataley, PA?

Bonnie Hataley, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000908.

Where does Bonnie Hataley, PA practice?

The practice location is 20 Valley View CT, Hamden, CT 06518-2751. The office can be reached at 203-507-2060 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194869719 directly on the NPPES registry website.

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