Provider Demographics
NPI:1376655324
Name:SAWICKI, BONITA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:BONITA
Middle Name:MARIE
Last Name:SAWICKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WHITING STREET
Mailing Address - Street 2:NEW BRITAIN GENERAL HOSPITAL HISPANIC COUNSELING CTR
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051
Mailing Address - Country:US
Mailing Address - Phone:860-224-5300
Mailing Address - Fax:860-826-4493
Practice Address - Street 1:24 WHITING STREET
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051
Practice Address - Country:US
Practice Address - Phone:860-224-5300
Practice Address - Fax:860-826-4493
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE49370163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse