Bonita A Spade is a North Charleston, South Carolina based nurse practitioner who is specialized as Adult Health nurse. Active license number of Bonita A Spade is R64665 for Adult Health in South Carolina. Her current practice location is 2845 Tricom St, North Charleston. Patients can reach her at 843-797-1770 or can fax her at 843-553-1498. Bonita A Spade is FNP,CDE with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1861569329. Bonita A Spade can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Bonita A Spade speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Bonita A Spade
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Female
Credentials:
FNP,CDE
Practice Address:
2845 Tricom St, North Charleston, South Carolina, 29406-9172
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861569329
NPI Enumeration Date:
29 Nov, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonita A Spade are as mentioned below.
License Number
Specialization
State
Status
R64665
Adult Health
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Bonita A Spade such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NP0283
Medicaid
South Carolina
R64665
Other
South Carolina
SC STATE ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bonita A Spade 2845 Tricom St, North Charleston, South Carolina
Zip:
29406-9172
Phone Number:
843-797-1770
Fax Number:
843-553-1498
Patients can reach Bonita A Spade at 2845 Tricom St, North Charleston, South Carolina or can call to book an appointment on 843-797-1770.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.