Provider Demographics
NPI:1750926697
Name:BONEA, DANIELA ZENAIDA (FNP-BC, NP-C, VA-BC)
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:ZENAIDA
Last Name:BONEA
Suffix:
Gender:F
Credentials:FNP-BC, NP-C, VA-BC
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:ZENAIDA
Other - Last Name:BONEA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC, NP-C, VA-BC
Mailing Address - Street 1:200 JULIAN SHOALS DR STE 30
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-1149
Mailing Address - Country:US
Mailing Address - Phone:828-233-6730
Mailing Address - Fax:
Practice Address - Street 1:200 JULIAN SHOALS DR STE 30
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-1149
Practice Address - Country:US
Practice Address - Phone:828-233-6730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2020-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013103363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner