National Provider Identifier

Kristen G Bonavilla, CNM

Kristen G Bonavilla, CNM is listed in the NPPES registry with a primary specialty of High-Risk Obstetric Registered Nurse in Amherst, NY and a listed phone number of (610) 428-5286.

NPI 1497701155Amherst, NYHigh-Risk Obstetric Registered Nurse

Profile Overview

NPI
1497701155
Provider Type
Individual
Primary Specialty
High-Risk Obstetric Registered Nurse
Enumeration Date
May 25, 2006
Last Updated
September 11, 2025

Practice Location

  • 24 Flickinger Ct
  • Amherst, NY 14228-3393

Phone: (610) 428-5286

Mailing Address

  • 24 Flickinger Ct
  • Amherst, NY 14228-3395

Specialties

  • High-Risk Obstetric Registered Nurse (163WX0002X)
  • Midwife (176B00000X)
Full Record
NPI
1497701155
Entity Type
Individual
Last Name
Bonavilla
First Name
Kristen
Middle Name
G
Credential
CNM
Mailing Street Address
24 Flickinger Ct
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-3395
Mailing Country
US
Mailing Phone
(610) 428-5286
Practice Street Address
24 Flickinger Ct
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228-3393
Practice Country
US
Practice Phone
(610) 428-5286
Enumeration Date
May 25, 2006
Last Updated
September 11, 2025
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
High-Risk Obstetric Registered Nurse (163WX0002X), Midwife (176B00000X)