SARAH BONASSO


Address: 101 Tygart Mall Loop Ste 102a, Fairmont, WV 26554-2972
Phone: 3045998000

SARAH BONASSO (NPI# 1780167387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780167387
Entity Type Individual
Full Name SARAH BONASSO
Credential PNP
Practice Address 101 Tygart Mall Loop Ste 102a
Fairmont
WV 26554-2972
Mailing Address 1247 Suncrest Town Centre Dr
Morgantown
WV 26505-1876
Practice Telephone 3045998000
Practice Fax Number 3045998003
Mailing Telephone 3045998000
Enumeration Date 2018-09-10
Last Update Date 2020-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
85838 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV WV BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES 85838 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1247 Suncrest Town Centre Dr, Morgantown, WV 265051876 3045998000
9000 Coombs Farm Rd, Morgantown, WV 265081149 3045998000 3045998003

Office Location

Street Address 101 TYGART MALL LOOP STE 102A
City FAIRMONT
State WV
Zip Code 26554-2972

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801497680 Vanquisha Clay Technician 118 Conaway St, Fairmont, WV 26554 2020-11-06
1851903363 Denise S Greer Technician 1029 Prickett Road, Fairmont, WV 26554 2020-08-18
1730790775 Darla Lee Mcrobie Technician 105 C'anna Square, Fairmont, WV 26554 2020-08-13
1376025718 Jason Batten Counselor 621 Maryland Ave, Fairmont, WV 26554 2018-09-02
1437669066 Ultimate Health & Wellness, LLC Naturopath 2862 Whitehall Blvd, Whitehall, WV 26554 2017-10-10
1457872376 Michele R Lilley Nurse Practitioner 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 2017-06-30
1477906154 Rebecca Hayes-merrill Counselor 212 Adams St., 3rd Floor, Fairmont, WV 26554 2016-07-19
1790173417 Dennis Michael Lynch Counselor 5 Turf Lane, Fairmont, WV 26554 2015-01-05
1336558725 Nicole Savage Home Health Aide 122 Abbott St, Fairmont, WV 26554 2014-08-11
1124434550 Achuta Ram Aynampudi Psychiatry & Neurology 100 Stoney Hill Rd, Fairmont, WV 26554 2014-07-07
Find all providers in zip 26554

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982249108 Auburn Pediatrics Inc Nurse Practitioner 8660 Auburn Rd, Auburn, WV 26325-7515 2019-11-12
1871046045 Tara Mcrae Nurse Practitioner 1804 W King St Ste 300-400, Martinsburg, WV 25401-2031 2016-07-25
1467827550 Summere Herndon Nurse Practitioner 81 Autumn Leaf Drive, New Creek, WV 26743-0012 2015-12-01
1598169500 Jessica Costello Nurse Practitioner 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 2014-10-20
1528476793 Kacie Owens Nurse Practitioner 830 Pennslyvania Avenue, Suite 103, Charleston, WV 25302-3389 2014-07-31
1871880856 Mindy L Bostic Nurse Practitioner 1008 Wal St, Summersville, WV 26651-2101 2011-06-29
1346498466 April Lynn Lilly Nurse Practitioner 252 Rural Acres Dr., Beckley, WV 25801-3503 2008-09-03
1225146475 Rachel Lynne Anger Nurse Practitioner 62 Barnard Ave, Elkins, WV 26241-3150 2006-08-28
1821600743 Emily Rossignol Nurse Practitioner 1 Medical Center Dr, Morgantown, WV 26506-1200 2020-08-21
1508346289 Roshawna Iman Nurse Practitioner 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 2018-08-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City FAIRMONT
Zip Code 26554

Improve Information

Please comment or provide details below to improve the information on SARAH BONASSO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches