Provider Demographics
NPI:1871326116
Name:ZAMPINO, BONNIE
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:ZAMPINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MUDFORT DR
Mailing Address - Street 2:
Mailing Address - City:HARPERS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25425-6353
Mailing Address - Country:US
Mailing Address - Phone:540-535-8637
Mailing Address - Fax:
Practice Address - Street 1:27 MUDFORT DR
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425-6353
Practice Address - Country:US
Practice Address - Phone:540-535-8637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator