Bonanni, Crystal
Bonanni, Crystal is an sole proprietor health care provider with primary practice located at 8333 N Davis Hwy Ste 601 , Pensacola FL 32514-6050. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bonanni, Crystal can be contacted via phone (850) 497-6200.Contact Information
Primary practice address
8333 N Davis Hwy Ste 601
Pensacola FL 32514-6050
Phone: (850) 497-6200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1967 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-05110 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA053074 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9109436 | Florida |
Profile Details
NPI number | 1164721221 |
---|---|
LBN Legal business name | Bonanni, Crystal |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2011 |
Last updated | Jan 5th, 2024 - about 11 months 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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