Bonasso, Sarah

Bonasso, Sarah is an individual health care provider with primary practice located at 101 Tygart Mall Loop Ste 102A , Fairmont WV 26554-2972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bonasso, Sarah can be contacted via phone (304) 599-8000.

Contact Information

Primary practice address
101 Tygart Mall Loop Ste 102A Fairmont WV 26554-2972
Phone: (304) 599-8000
Fax: (304) 599-8003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 85838 West Virginia

Profile Details

NPI number 1780167387
LBN Legal business name Bonasso, Sarah
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2018
Last updated Apr 12th, 2022 - about 3 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 1780167387 NPPES
West Virginia Other 85838 WV BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES

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