Bonita A Spade, FNP,CDE - Nurse Practitioner in North Charleston, SC

Bonita A Spade, FNP,CDE is a Nurse Practitioner - Adult Health based in North Charleston, South Carolina. Bonita A Spade is licensed to practice in South Carolina (license number R64665) and her current practice location is 2845 Tricom St, North Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 797-1770.

NPI number for Bonita A Spade is 1861569329 and her current mailing address is 2845 Tricom St, North Charleston, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861569329.

Contact Information

Bonita A Spade, FNP,CDE
2845 Tricom St,
North Charleston, SC 29406-9172
(843) 797-1770
(843) 553-1498

Map and Direction




Provider's Profile

Full NameBonita A Spade
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location2845 Tricom St, North Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861569329
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Bonita A Spade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861569329NPI-NPPES
NP0283MedicaidSC
R64665OtherSCSC STATE ID #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health R64665 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonita A Spade is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bonita A Spade, FNP,CDE
2845 Tricom St,
North Charleston, SC 29406-9172

Ph: (843) 797-1770
Bonita A Spade, FNP,CDE
2845 Tricom St,
North Charleston, SC 29406-9172

Ph: (843) 797-1770

Reviews and Comments


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