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NPI Code Detail

MEDICARE: JUANA M BONILLA CERTIFIED NP

MEDICARE: JUANA M BONILLA CERTIFIED NP
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
1363LA2100XAcute Care Nurse PractitionerSP035045PA

General Provider Information

NPI Number : 1437000510
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANA M BONILLA CERTIFIED NP
Provider Business Mailing Address
First Line : 2545 SCHOENERSVILLE RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-7300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2545 SCHOENERSVILLE RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-7300
Country : US
Telephone Number : 610-402-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ JUANA M BONILLA CERTIFIED NP” Practice Location

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