Michele C Boniewicz | Chalfont, PA • PECOS Search

Michele C Boniewicz

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1700 Horizon Dr, Suite 200, Chalfont, PA 18914-3950

(215) 822-7700 (267) 263-4195

PECOS Enrollment

Based on the most recent information from CMS, provider Michele C Boniewicz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1649315185
Provider Type
Individual
Full Name
Boniewicz, Michele C
Title
Mrs.
Credential
C.R.N.P.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/21/2007
Last Updated
7/30/2008

Contact Information

Practice Location

1700 Horizon Dr, Suite 200, Chalfont, PA 18914-3950

Unlisted Fax

Mailing Location

105 Arbor Way, Lansdale, PA 19446-6433

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP008618 Pennsylvania