Search › Massachusetts › 363LA2200X
Bonny Nothern, NP
NPI 1538194865 · on the registry since 2006
Practice
- Address
- 45 Dimock St
Roxbury, MA 02119 - Phone
- (617) 442-8800
- Fax
- (617) 541-8472
- Organisation at this address
- Dimock Community Health Center, Inc
Dimock Community Services CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 90
Additional practice sites
- 55 Lake Ave N, Worcester, MA
- 705 Mount Auburn St, Watertown, MA
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363L00000X
363LA2200X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts