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

SpecialtyCodeLicense #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 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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