KRISTEN G BONAVILLA

AMHERST, NY
NPI1497701155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WX0002X Registered Nurse, Obstetric, High-Risk
(Licence: NY  558493-1)
Additional Taxonomies176B00000X Midwife
(Licence: NY  001205-1)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
-- KRISTEN G BONAVILLA CNM
24 FLICKINGER CT
AMHERST, NY 14228-3393
Phone number: 610-428-5286
Mailing Address
-- KRISTEN G BONAVILLA CNM
24 FLICKINGER CT
AMHERST, NY 14228-3395
Phone number: 610-428-5286