Bonniville, Harley

Bonniville, Harley is an individual health care provider with primary practice located at 119 Bulifants Blvd , Williamsburg VA 23188-5747. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bonniville, Harley can be contacted via phone (757) 564-7337.

Contact Information

Primary practice address

119 Bulifants Blvd Williamsburg VA 23188-5747

Phone: (757) 564-7337

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics	363LP0200X	0024184256	Virginia

Profile Details

NPI number	1700501830
LBN Legal business name	Bonniville, Harley
Credentials	CPNP-PC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Oct 11th, 2022
Last updated	Oct 11th, 2022 - about 4 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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