NPI 1639226939 · live from the CMS NPI Registry
Beth A Bonifas, NP
Nurse Practitioner in Virginia Beach, VA. National Provider Identifier 1639226939, active.
NPI record
| NPI | 1639226939 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 984 First Colonial Rd Ste 302, Virginia Beach, VA 23454 |
| Practice phone | 757-481-0385 |
| Enumerated | January 5, 2007 |
| Last updated | July 27, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 0017136969 (VA) |
| Nurse Practitioner primary | 363L00000X | 0017136969 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.