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NPI Code Detail

MEDICARE: MELISSA SKENES BONFADA

MEDICARE:   MELISSA  SKENES BONFADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN269880GA

General Provider Information

NPI Number : 1053187161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SKENES BONFADA
Provider Business Mailing Address
First Line : 730 CLUB CHASE CT
Second Line :
City : ROSWELL
State : GA
Zip : 30076-4478
Country : US
Telephone Number : 404-431-2841
Fax Number :
Provider Business Practice Location Address
First Line : 77 COLLIER RD NW STE 3130
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1754
Country : US
Telephone Number : 404-351-3574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2023
Last Update Date : 11/29/2023

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Directions to “ MELISSA SKENES BONFADA ” Practice Location

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