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Dr. Bonnie Caukins Revelle, MD
Neonatal-Perinatal Medicine Physician in Norfolk, Virginia
NPI 1225087349

Bonnie Caukins Revelle is a Neonatal-Perinatal Medicine Physician based in Norfolk, VA and is specialized in Neonatal-Perinatal Medicine. Bonnie Caukins Revelle practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Bonnie Caukins Revelle is 1225087349 and holds a License No. 0101240729 (Virginia).

The current practice location address for Bonnie Caukins Revelle is 601 Childrens Ln, Norfolk, VA and can be reached out via phone at 757-668-7456 and via fax at 757-668-9255. You can also correspond with Bonnie Caukins Revelle through the mailing address at 811 REDGATE AVE, NORFOLK, VA - 23507-1515 (mailing address contact number: 757-668-7007).

Location: 601 Childrens Ln, Norfolk, VA, 23507-1515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225087349
Provider Name
Bonnie Caukins Revelle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
601 Childrens Ln, Norfolk, VA, 23507-1515
Phone Number
757-668-7456
Fax Number
757-668-9255
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8971295 05 NC
71295 01 NC BLUE CROSS BLUE SHIELD
890160M 05 NC
institution
Provider Business Practice Location Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7456
Fax Number
757-668-9255
person
Provider Business Mailing Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7456
Fax Number
757-668-9255
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
27288 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
0101240729 (Virginia)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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