Bonus, Stacey M

Bonus, Stacey M is an individual health care provider with primary practice located at 125 North Franklin Drive Suite 1, Washington PA 15301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonus, Stacey M can be contacted via phone (724) 225-6500.

Contact Information

Primary practice address
125 North Franklin Drive Suite 1 Washington PA 15301
Phone: (724) 225-6500
Fax: (724) 225-8188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP007882 Pennsylvania

Profile Details

NPI number 1730189317
LBN Legal business name Bonus, Stacey M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 14th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730189317 NPPES
Pennsylvania Other SP007882 CRNP

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