Healthcare Provider Details

I. General information

NPI: 1699104869
Provider Name (Legal Business Name): BONNIE SCURZI WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 S 9TH ST
TEMPLE TX
76504-5567
US

IV. Provider business mailing address

201 N 8TH ST
TEMPLE TX
76501-3374
US

V. Phone/Fax

Practice location:
  • Phone: 254-778-4766
  • Fax: 254-778-2912
Mailing address:
  • Phone: 254-773-4457
  • Fax: 254-773-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number583444
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: