Individual provider · NPI-1

Xiomara Bonilla, RN

Registered Nurse, Psych/Mental Health, Adult · Boston, MA

NPI number1609760057
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1609760057
Entity type
Individual (NPI-1)
Name
Xiomara Bonilla
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2025
Certification date
Jun 8, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, AdultRN2381518MAYes

Practice location

245 Eustis St
Boston, MA 02119-2826

Phone 617-445-1123

Mailing address

245 Eustis St
Boston, MA 02119-2826

Phone 617-445-1123

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