Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
KRISTEN G BONAVILLA CNM
NPI 1497701155
Registered Nurse - Obstetric, High-Risk in Amherst, NY
Active since May 25, 2006
About Kristen G Bonavilla Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN G BONAVILLA CNM (NPI 1497701155) is an individual obstetric, high-risk provider in Amherst, New York, licensed in New York (558493-1) and active in the NPI registry since May 2006.
NPPES Registry Identity
NPI1497701155
Entity TypeIndividualFemale
Primary Taxonomy163WX0002X
Provider Legal NameKRISTEN G BONAVILLACredential: CNM
Location Address24 FLICKINGER CTAmherst, NY 14228-3393
Mailing Address24 Flickinger CtAmherst, NY 14228-3395 · (610) 428-5286
Phone(610) 428-5286
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1497701155 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Obstetric, High-RiskNursing Service Providers
Taxonomy Code163WX0002X
License✔ Licensed in NY · 558493-1
Also ListedMidwifeTaxonomy 176B00000X · License 001205-1 (NY)
24 FLICKINGER CT, Amherst, NY 14228
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497701155, enumerated as an "individual" on May 25, 2006.
The provider is located at 24 FLICKINGER CT AMHERST, NY 14228 and the phone number is (610) 428-5286.
Registered Nurse with taxonomy code 163WX0002X and a focus in Obstetric, High-Risk.
