Healthcare Provider Details

I. General information

NPI: 1215484894
Provider Name (Legal Business Name): BONNIE L ALBERTINI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

662 N MAIN ST
SPRINGBORO OH
45066-9553
US

IV. Provider business mailing address

PO BOX 933432
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-5066
  • Fax: 937-550-9797
Mailing address:
  • Phone: 937-641-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.022825
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: