National Provider Identifier
Candice Bonilla
Candice Bonilla is listed in the NPPES registry with a primary specialty of Registered Nurse in Angola, NY and a listed phone number of (716) 544-2770.
Profile Overview
- NPI
- 1457828964
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- November 01, 2018
- Last Updated
- November 03, 2018
Practice Location
- 7865 Lake Shore RD
- Angola, NY 14006-9745
Phone: (716) 544-2770
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1457828964
- Entity Type
- Individual
- Last Name
- Bonilla
- First Name
- Candice
- Mailing Street Address
- 7865 Lake Shore RD
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-9745
- Mailing Country
- US
- Practice Street Address
- 7865 Lake Shore RD
- Practice City
- Angola
- Practice State
- NY
- Practice ZIP Code
- 14006-9745
- Practice Country
- US
- Practice Phone
- (716) 544-2770
- Enumeration Date
- November 01, 2018
- Last Updated
- November 03, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)