IndividualActive
Joe Bonazza, RN
NPI 1316553746 · Case Management Registered Nurse · Charleston, WV
Provider details
- NPI number
- 1316553746
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 73481 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
1508 Bigley Ave Ste a
Charleston, WV 25302-3904
Phone: (304) 935-1069
Approximate (ZIP-level) locationGet directions
Mailing address
1508 Bigley Ave Ste a
Charleston, WV 25302-3904
Registry dates
- Enumerated
- 2020-09-21
- Last updated
- 2020-09-21
- Certified
- 2020-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.