DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANDICE BONILLA

Active Sole Proprietor

Registered Nurse · ANGOLA, NY

Registration Details

NPI Number
1457828964
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2018 (7.4828477344411 yrs)
Last Updated
Nov 3, 2018
License
635520 (NY)
Sole Proprietor
Yes

Practice Information

Address
7865 LAKE SHORE RD
ANGOLA, NY, 140069745
Browse NY providers · Browse ZIP 14006
Phone
7165442770
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in ANGOLA, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.