Basic Information
Provider Information
NPI: 1740228733
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHERVONE
FirstName: BONNI
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1869
Address2:  
City: FLETCHER
State: NC
PostalCode: 287321869
CountryCode: US
TelephoneNumber: 8286875616
FaxNumber: 8286508076
Practice Location
Address1: 100 HOSPITAL DR
Address2:  
City: HENDERSONVILLE
State: NC
PostalCode: 287925272
CountryCode: US
TelephoneNumber: 8286812420
FaxNumber: 8286870729
Other Information
ProviderEnumerationDate: 06/03/2006
LastUpdateDate: 10/05/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X26NR08718300NJN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000X242657NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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