MEDICARE: MRS. MICHELE C BONIEWICZ C.R.N.P.

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
1	363L00000X	Nurse Practitioner	SP008618	PA

General Provider Information

NPI Number	:	1649315185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELE C BONIEWICZ C.R.N.P.

Provider Business Mailing Address
First Line	:	105 ARBOR WAY
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-6433
Country	:	US
Telephone Number	:	267-263-4195
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 HORIZON DR
Second Line	:	SUITE 200
City	:	CHALFONT
State	:	PA
Zip	:	18914-3950
Country	:	US
Telephone Number	:	215-822-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/30/2008

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Directions to “ MRS. MICHELE C BONIEWICZ C.R.N.P.” Practice Location

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