Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA BONNENFANT
ActiveANDREA BONNENFANT is a Physician Assistant healthcare provider located in LIVE OAK, California. NPI 1972676922 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LIVE OAK, CA
Registration Details
- NPI Number
- 1972676922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2006 (19.737966065915 yrs)
- Last Updated
- Dec 2, 2011
- License
-
16633 (CA)
Practice Information
- Address
-
9980 LIVE OAK BLVDLIVE OAK, CA, 959532334Browse CA providers · Browse ZIP 95953
- Phone
- 5306950700
- Fax
- 5306950701
- Primary Specialty
-
Physician Assistant
363A00000X
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.