Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phylicia Joanne Bonavida, NP-C

Individual provider Family Nurse Practitioner · NPI 1710456439

Phylicia Joanne Bonavida, NP-C is a Nurse Practitioner in Princeton, Maine. Qualified in 2018, 8 years ago. Practices with Indian Township Tribal Government, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
8
Licensed in
ME
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

136 Mill St
Princeton, ME 04668-3344
Phone: (207) 796-5503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 35 Blue Devil Hill, Calais, ME 04619 — (207) 796-5503
  • 5 Lowell St Ste 4, Calais, ME 04619-1712 — (207) 796-5503

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP181262 (ME)

Record details

NPI number1710456439
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESDecember 6, 2022
Certification dateDecember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Indian Township Tribal Government — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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