person
Sarah Bonasso, PNP
Pediatric Nurse Practitioner in Fairmont, West Virginia
NPI 1780167387

Sarah Bonasso is a Pediatric Nurse Practitioner based in Morgantown, WV and is specialized in Pediatrics. Sarah Bonasso practices in Fairmont, WV and has the professional credentials of PNP. The NPI Number for Sarah Bonasso is 1780167387 and holds a License No. 85838 (West Virginia).

The current practice location address for Sarah Bonasso is 101 Tygart Mall Loop Ste 102A, Fairmont, WV and can be reached out via phone at 304-599-8000 and via fax at 304-599-8003.

Location: 101 Tygart Mall Loop Ste 102A, Fairmont, WV, 26505-1876
person
Provider Profile Details
NPI Number
1780167387
Provider Name
Sarah Bonasso
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
101 Tygart Mall Loop Ste 102A, Fairmont, WV, 26505-1876
Phone Number
304-599-8000
Fax Number
304-599-8003
Provider Enumeration Date
09/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85838 01 WV WV BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES
institution
Provider Business Practice Location Address Details
Address
101 Tygart Mall Loop Ste 102A
City
State
Zip
26554-2972
Phone Number
304-599-8000
Fax Number
304-599-8003
person
Provider Business Mailing Address Details
Address
101 Tygart Mall Loop Ste 102A
City
State
Zip
26554-2972
Phone Number
304-599-8000
Fax Number
304-599-8003
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
85838 (West Virginia)
Definition
Definition to come...
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