Provider Demographics
NPI:1275286304
Name:BONK, ERICA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:BONK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:PIERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:970 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3100
Mailing Address - Country:US
Mailing Address - Phone:412-325-5000
Mailing Address - Fax:412-696-0381
Practice Address - Street 1:970 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3100
Practice Address - Country:US
Practice Address - Phone:412-325-5000
Practice Address - Fax:412-696-0381
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-29
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily