Bonita A Spade in North Charleston - Adult Health
Bonita A Spade - NPI 1861569329
Bonita A Spade is a Adult Health in North Charleston, South Carolina. Bonita A Spade practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Bonita A Spade is 1861569329. The last update date is 2007-07-09.
Bonita A Spade's current location address is 2845 Tricom St, North Charleston, South Carolina. You can contact this provider via phone number 8437971770 and fax number 8435531498. The mailing address for Bonita A Spade is 2845 Tricom St, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita A Spade |
|---|---|
| Address | 2845 Tricom St, North Charleston, South Carolina |
| Phone Number | 8437971770 |
| Fax Number | 8435531498 |
| Sole Proprietor | N |
| Credentials | FNP,CDE |
NPI Number Detail
| NPI Number | 1861569329 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2845 Tricom St |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069172 |
| Phone Number | 8437971770 |
| Fax Number | 8435531498 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | R64665 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP0283 | SC | -- | |
| R64665 | SC | SC STATE ID # |
Post Comment/ Review Below
What is the unique identification code assigned to Bonita A Spade by the Centers for Medicare & Medicaid Services?
The Bonita A Spade has been issued the NPI (National Provider Identifier) 1861569329. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bonita A Spade located?
The Bonita A Spade is located at 2845 Tricom St, North Charleston, SC 294069172.
What is Bonita A Spade's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonita A Spade is Adult Health, and the corresponding taxonomy classification code for this specialized field is 363La2200X.
When did Bonita A Spade receive its 1861569329 assignment?
The Bonita A Spade was assigned its 1861569329 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Bonita A Spade, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bonita A Spade, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY