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Tracie F Bonner, FNP
Family Nurse Practitioner in Clay, West Virginia
NPI 1679709554

Tracie F Bonner is a Family Nurse Practitioner based in Clay, WV and is specialized in Family. Tracie F Bonner practices in Clay, WV and has the professional credentials of FNP. The NPI Number for Tracie F Bonner is 1679709554 and holds a License No. 52119 (West Virginia).

The current practice location address for Tracie F Bonner is 122 Center St, Clay, WV and can be reached out via phone at 304-587-7301 and via fax at 304-587-2464.

Location: 122 Center St, Clay, WV, 25043-7046
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Provider Profile Details
NPI Number
1679709554
Provider Name
Tracie F Bonner
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
122 Center St, Clay, WV, 25043-7046
Phone Number
304-587-7301
Fax Number
304-587-2464
Provider Enumeration Date
06/05/2009
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679709554 05 WV
52119 01 WV STATE NP LICENSE
institution
Provider Business Practice Location Address Details
Address
122 Center St
City
State
Zip
25043-7046
Phone Number
304-587-7301
Fax Number
304-587-2464
person
Provider Business Mailing Address Details
Address
122 Center St
City
State
Zip
25043-7046
Phone Number
304-587-7301
Fax Number
304-587-2464
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
52119 (West Virginia)
Definition
Definition to come...
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