Provider Demographics
NPI:1598148231
Name:BONFADINI, SABINA (PMH-NP)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:BONFADINI
Suffix:
Gender:F
Credentials:PMH-NP
Other - Prefix:
Other - First Name:SABINA
Other - Middle Name:
Other - Last Name:BONFADINI MUNCIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20899 BRUNSWICK LN
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-7576
Mailing Address - Country:US
Mailing Address - Phone:302-666-3601
Mailing Address - Fax:
Practice Address - Street 1:20899 BRUNSWICK LN
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-7576
Practice Address - Country:US
Practice Address - Phone:302-666-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL8-0010250363LP0808X
DEL8-0010250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health