Provider Demographics
NPI:1164655320
Name:SEAY, MARY BONNER (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BONNER
Last Name:SEAY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:BONNER
Other - Last Name:SEAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WHNP
Mailing Address - Street 1:106 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-8203
Mailing Address - Country:US
Mailing Address - Phone:781-283-2810
Mailing Address - Fax:781-283-3693
Practice Address - Street 1:106 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-8203
Practice Address - Country:US
Practice Address - Phone:781-283-2810
Practice Address - Fax:781-283-3693
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA271386363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health