Bonnie Lorenzetti, CRNP
Nurse Practitioner, Family in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1003887308
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1003887308
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Lorenzetti
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | UP006478B | PA | Yes |
| 163W00000X | Registered Nurse | RN243570L | PA | |
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | UP006478B | PA |
Practice location
1155 E Mountain BlvdWilkes Barre, PA 18702-7906
Phone 570-808-7916 · Fax 570-808-6006
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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