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Ms. Beth A Bonifas, CPNP
Pediatric Nurse Practitioner in Norfolk, Virginia
NPI 1639226939

Beth A Bonifas is a Pediatric Nurse Practitioner based in Norfolk, VA and is specialized in Pediatrics. Beth A Bonifas practices in Norfolk, VA and has the professional credentials of CPNP. The NPI Number for Beth A Bonifas is 1639226939 and holds a License No. 0017136969 (Virginia).

The current practice location address for Beth A Bonifas is 601 Childrens Ln, Norfolk, VA and can be reached out via phone at 757-668-7703.

Location: 601 Childrens Ln, Norfolk, VA, 23507-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639226939
Provider Name
Beth A Bonifas
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
601 Childrens Ln, Norfolk, VA, 23507-1910
Phone Number
757-668-7703
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010418071 05 VA
7003969 05 NC
012862C41 01 VA MEDICARE
institution
Provider Business Practice Location Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7703
Fax Number
person
Provider Business Mailing Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7703
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
0017136969 (Virginia)
Definition
Definition to come...
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