Provider Demographics
NPI:1528834298
Name:BOIE, BONNIE MELISSA (RN)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:MELISSA
Last Name:BOIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:TORENTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:81 REBECCA RD
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1638
Mailing Address - Country:US
Mailing Address - Phone:774-278-1779
Mailing Address - Fax:
Practice Address - Street 1:447 HILL ST
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1016
Practice Address - Country:US
Practice Address - Phone:508-234-7306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233603163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care