Provider Demographics
NPI:1699104869
Name:SCURZI, BONNIE (WHNP-BC)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:SCURZI
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501-3374
Mailing Address - Country:US
Mailing Address - Phone:254-773-4457
Mailing Address - Fax:254-773-7535
Practice Address - Street 1:509 S 9TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-5567
Practice Address - Country:US
Practice Address - Phone:254-778-4766
Practice Address - Fax:254-778-2912
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX583444363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health