person
Bonita A Spade, FNP,CDE
Adult Health Nurse Practitioner in North Charleston, South Carolina
NPI 1861569329

Bonita A Spade is an Adult Health Nurse Practitioner based in North Charleston, SC and is specialized in Adult Health. Bonita A Spade practices in North Charleston, SC and has the professional credentials of FNP,CDE. The NPI Number for Bonita A Spade is 1861569329 and holds a License No. R64665 (South Carolina).

The current practice location address for Bonita A Spade is 2845 Tricom St, North Charleston, SC and can be reached out via phone at 843-797-1770 and via fax at 843-553-1498. You can also correspond with Bonita A Spade through the mailing address at 2845 TRICOM ST, NORTH CHARLESTON, SC - 29406-9172 (mailing address contact number: 843-797-1770).

Location: 2845 Tricom St, North Charleston, SC, 29406-9172
person
Provider Profile Details
NPI Number
1861569329
Provider Name
Bonita A Spade
Credential
FNP,CDE
Provider Entity Type
Individual
Gender
Female
Address
2845 Tricom St, North Charleston, SC, 29406-9172
Phone Number
843-797-1770
Fax Number
843-553-1498
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
NP0283 05 SC
R64665 01 SC SC STATE ID #
institution
Provider Business Practice Location Address Details
Address
2845 Tricom St
City
State
Zip
29406-9172
Phone Number
843-797-1770
Fax Number
843-553-1498
person
Provider Business Mailing Address Details
Address
2845 Tricom St
City
State
Zip
29406-9172
Phone Number
843-797-1770
Fax Number
843-553-1498
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R64665 (South Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.