Active NPIIndividual providerSole proprietor

Miss Krystina K Bonilla, FNP-BC

Nurse Practitioner, Family in Fitchburg, Massachusetts

NPI Number1245847292
Practice location
326 Nichols RD, Fitchburg, MA 01420-1914
Fax
—
Last updated
October 21, 2020

Krystina Kacee Bonilla is a Nurse Practitioner, Family based in Fitchburg, MA. Krystina Kacee Bonilla practices in Fitchburg, MA and has the professional credentials of FNP-BC. The NPI Number for Krystina Kacee Bonilla is 1245847292 and holds a License No. RN2278255 (MA). The current practice location address for Krystina Kacee Bonilla is 326 Nichols RD, Fitchburg, MA 01420-1914 and can be reached out via phone at 978-878-8100.

Provider Profile Details

NPI Number
1245847292
Provider Name
Krystina Kacee Bonilla
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
326 Nichols RD, Fitchburg, MA 01420-1914
Phone Number
978-878-8100
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 24, 2020
Last Update Date
October 21, 2020
Certification Date
October 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
326 Nichols RD
Fitchburg, MA 01420-1914
Zip
01420-1914
Phone Number
978-878-8100
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
326 Nichols RD
Fitchburg, MA 01420-1914
City
Fitchburg
State
MA
Zip
01420-1914
Phone Number
978-606-1472

License Information

License Number
RN2278255
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Miss Krystina K Bonilla, FNP-BC?

The NPI number of Miss Krystina K Bonilla, FNP-BC is 1245847292. It was assigned on September 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Miss Krystina K Bonilla, FNP-BC?

Miss Krystina K Bonilla, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2278255.

Where does Miss Krystina K Bonilla, FNP-BC practice?

The practice location is 326 Nichols RD, Fitchburg, MA 01420-1914. The office can be reached at 978-878-8100 (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 1245847292 directly on the NPPES registry website.

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