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Andrea A Bonanno
Family Nurse Practitioner in Burke, Virginia
NPI 1235305061

Andrea A Bonanno is a Family Nurse Practitioner based in Burke, VA and is specialized in Family. Andrea A Bonanno practices in Burke, VA. The NPI Number for Andrea A Bonanno is 1235305061 and holds a License No. 0024164854 (Virginia).

The current practice location address for Andrea A Bonanno is 9409B Old Burke Lake Rd, Burke, VA and can be reached out via phone at 703-978-4200.

Location: 9409B Old Burke Lake Rd, Burke, VA, 22015-3127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235305061
Provider Name
Andrea A Bonanno
Credential
Provider Entity Type
Individual
Gender
Female
Address
9409B Old Burke Lake Rd, Burke, VA, 22015-3127
Phone Number
703-978-4200
Fax Number
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9409B Old Burke Lake Rd
City
Burke
State
Virginia
Zip
22015-3127
Phone Number
703-978-4200
Fax Number
person
Provider Business Mailing Address Details
Address
9409B Old Burke Lake Rd
City
Burke
State
Virginia
Zip
22015-3127
Phone Number
703-978-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024164854 (Virginia)
Definition
Definition to come...
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