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Contact Information

AYESHA M BONORA, RN, CCM
22601 N 19TH AVE STE 131
PHOENIX, AZ85027-1325
 Phone: 866-762-4455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AYESHA M BONORA · (Female)

NPI # 1922938489
Status Active
Credentials RN, CCM
Entity Individual
Enumeration date 05/19/2026
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • TX License # 624781
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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