National Provider Identifier
Bonnie Jean Matacale, REGISTERED NURSE
Bonnie Jean Matacale, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of School Registered Nurse in Bath, NY and a listed phone number of (607) 776-4110.
Profile Overview
- NPI
- 1801163050
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- November 16, 2011
- Last Updated
- November 30, 2011
Practice Location
- 25 Ellas Ave
- Bath, NY 14810-1107
Phone: (607) 776-4110
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1801163050
- Entity Type
- Individual
- Last Name
- Matacale
- First Name
- Bonnie
- Middle Name
- Jean
- Name Prefix
- Mrs.
- Credential
- REGISTERED NURSE
- Mailing Street Address
- 25 Ellas Ave
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1107
- Mailing Country
- US
- Mailing Phone
- (607) 776-4110
- Mailing Fax
- (607) 776-6873
- Practice Street Address
- 25 Ellas Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1107
- Practice Country
- US
- Practice Phone
- (607) 776-4110
- Practice Fax
- (607) 776-6873
- Enumeration Date
- November 16, 2011
- Last Updated
- November 30, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)