Tracie F Bonner, FNP
Nurse Practitioner, Family in Clay, WV. Individual provider (NPI-1).
NPI number1679709554
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1679709554
- Entity type
- Individual (NPI-1)
- Name
- Tracie F Bonner
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2009
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 52119 | WV | Yes |
Other names
- Tracie F Boner (Former Name)
Practice location
122 Center StClay, WV 25043-7046
Phone 304-587-7301 · Fax 304-587-2464
Mailing address
122 Center StClay, WV 25043-7046
Phone 304-587-7301 · Fax 304-587-2464
Other practice locations
3701 Maccorkle Ave Se
Charleston, WV 25304-1525
Charleston, WV 25304-1525
Phone 304-720-2345 · Fax 304-720-2347
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All 11 Family Nurse Practitioner providers in Clay · All 424 providers in Clay
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