Healthcare Provider Details

I. General information

NPI: 1336574409
Provider Name (Legal Business Name): DONNA CHRISTINE BOND CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 BELLEVIEW AVE SE
ROANOKE VA
24014-1838
US

IV. Provider business mailing address

1906 BELLEVIEW AVE SE
ROANOKE VA
24014-1838
US

V. Phone/Fax

Practice location:
  • Phone: 540-981-7133
  • Fax: 540-981-8643
Mailing address:
  • Phone: 540-981-7133
  • Fax: 540-981-8643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number0001082487
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: