Provider Demographics
NPI:1801401179
Name:BONAPARTE, PRECIOUS (RHN)
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:
Last Name:BONAPARTE
Suffix:
Gender:F
Credentials:RHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4204
Mailing Address - Country:US
Mailing Address - Phone:551-225-5826
Mailing Address - Fax:
Practice Address - Street 1:40 BAYVIEW AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-4204
Practice Address - Country:US
Practice Address - Phone:551-225-5826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-13
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner