Deaxtra Bonham, WHNP Valid NPI

Individual provider · Women's Health Nurse Practitioner · Atlanta, GA

NPI

1487100566

Type

Individual (Type 1)

Primary specialty

Women's Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LW0102X

License number

GAA-NP000016 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2016-08-29

Last updated

2021-12-06