Provider Demographics
NPI:1013366475
Name:MACRINA, BONNIE (RN, RNFA, CNOR, CNRN)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:MACRINA
Suffix:
Gender:F
Credentials:RN, RNFA, CNOR, CNRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2470
Mailing Address - Country:US
Mailing Address - Phone:609-653-9110
Mailing Address - Fax:609-653-4105
Practice Address - Street 1:110 HARBOR LN
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2470
Practice Address - Country:US
Practice Address - Phone:609-653-9110
Practice Address - Fax:609-653-4105
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10612200163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience