Diane Marie Bonifas, RN
Individual provider Active NPI Registered Nurse · Delphos, OH
NPI 1891362620 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1891362620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 209362 (OH)
- Practice address
- 10029 Bockey Rd
Delphos, OH 45833-8832 - Phone
- (419) 692-0063
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209362 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 209362 | OH | Yes |
Addresses
Primary practice location
10029 Bockey Rd
Delphos, OH 45833-8832
Mailing address
10029 Bockey Rd
Delphos, OH 45833-8832
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209362 | Other | OH | RN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | diane.bonifas@trilogyhs.com |
Other providers in Delphos, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.