- Practice location
- 136 Mill St, Princeton, ME 04668-3344
- Phone
- 207-796-5503
- Fax
- —
- Last updated
- December 6, 2022
Phylicia Joanne Bonavida is a Nurse Practitioner, Family based in Princeton, ME. Phylicia Joanne Bonavida practices in Princeton, ME and has the professional credentials of NP-C. The NPI Number for Phylicia Joanne Bonavida is 1710456439 and holds a License No. CNP181262 (ME). The current practice location address for Phylicia Joanne Bonavida is 136 Mill St, Princeton, ME 04668-3344 and can be reached out via phone at 207-796-5503.
Provider Profile Details
- NPI Number
- 1710456439
- Provider Name
- Phylicia Joanne Bonavida
- Credential
- NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 136 Mill St, Princeton, ME 04668-3344
- Phone Number
- 207-796-5503
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 26, 2018
- Last Update Date
- December 6, 2022
- Certification Date
- December 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 136 Mill St
Princeton, ME 04668-3344 - City
- Princeton
- State
- Maine
- Zip
- 04668-3344
- Phone Number
- 207-796-5503
Provider Business Mailing Address Details
- Address
- 136 Mill St
Princeton, ME 04668-3344 - City
- Princeton
- State
- ME
- Zip
- 04668-3344
- Phone Number
- 207-297-5503
License Information
- License Number
- CNP181262
- License State
- ME
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Phylicia J Bonavida, NP-C?
The NPI number of Phylicia J Bonavida, NP-C is 1710456439. It was assigned on November 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Phylicia J Bonavida, NP-C?
Phylicia J Bonavida, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP181262.
Where does Phylicia J Bonavida, NP-C practice?
The practice location is 136 Mill St, Princeton, ME 04668-3344. The office can be reached at 207-796-5503 (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 1710456439 directly on the NPPES registry website.