Dr PHYLICIA J BONAVIDA is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
ST CROIX REGIONAL FAMILY HEALTH CENTER
136 MILL ST
PRINCETON
ME
046683344
Tel: 2077965503
| Npi | 1710456439 |
| Pac Id | 4183960081 |
| Professional Enrollment Id | I20190115000485 |
| Last Name | BONAVIDA |
| First Name | PHYLICIA |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | ST CROIX REGIONAL FAMILY HEALTH CENTER |
| Group Practice Pac Id | 3577524024 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 136 MILL ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PRINCETON |
| State | ME |
| Zip Code | 046683344 |
| Phone Number | 2077965503 |
| Hospital Affiliation Ccn 1 | 201305 |
| Hospital Affiliation Lbn 1 | CALAIS REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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