IndividualActive
Justin Bonanno, RN
NPI 1144066531 · Emergency Registered Nurse · Port Angeles, WA
Provider details
- NPI number
- 1144066531
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN60979296 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
939 Caroline St
Port Angeles, WA 98362-3997
Phone: (360) 417-7000
Approximate (ZIP-level) locationGet directions
Mailing address
136 Orcas Ave
Port Angeles, WA 98362-2552
Registry dates
- Enumerated
- 2024-07-04
- Last updated
- 2024-07-04
- Certified
- 2024-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.