Bonanni, Maria

Bonanni, Maria is an individual health care provider with primary practice located at 3400 Civic Center Blvd Ste 300-S, Philadelphia PA 19104-5127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bonanni, Maria can be contacted via phone (215) 662-4740.

Contact Information

Primary practice address
3400 Civic Center Blvd Ste 300-S Philadelphia PA 19104-5127
Phone: (215) 662-4740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F306315-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP016764 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP016764 Pennsylvania

Profile Details

NPI number 1821336140
LBN Legal business name Bonanni, Maria
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2013
Last updated Sep 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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