Wisdom, Bonnie Susette

Wisdom, Bonnie Susette is an individual health care provider with primary practice located at 11065 Middleway Pike , Charles Town WV 25414-4366. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wisdom, Bonnie Susette can be contacted via phone (304) 724-6091.

Contact Information

Primary practice address
11065 Middleway Pike Charles Town WV 25414-4366
Phone: (304) 724-6091
Fax: (304) 725-7204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 62175 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166327 Virginia

Profile Details

NPI number 1760681910
LBN Legal business name Wisdom, Bonnie Susette
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 17 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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