IndividualActive
Deaxtra Bonham, WHNP
NPI 1487100566 · Women's Health Nurse Practitioner · Atlanta, GA
Provider details
- NPI number
- 1487100566
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024173381 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
550 Peachtree St Ne Ste 1275
Atlanta, GA 30308-2240
Phone: (404) 872-3121
Fax: (404) 872-3119
Approximate (ZIP-level) locationGet directions
Mailing address
550 Peachtree St Ne Ste 1275
Atlanta, GA 30308-2240
Additional practice locations (3)
- 15425 Warwick Blvd Ste HNewport News, VA 23608-1579Phone: (757) 874-8400
- 4714 Marshall AveNewport News, VA 23607Phone: (757) 380-8709
- 4714 Marshall AveNewport News, VA 23607Phone: (757) 380-8709
Registry dates
- Enumerated
- 2016-08-29
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.