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

Tressa Bonasso

Individual provider Pediatric Nurse Practitioner · NPI 1124611454

Tressa Bonasso is a Pediatric Nurse Practitioner in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2021

Practice location Address checks out

23 Tresara Dr
Fairmont, WV 26554-8837
Phone: (304) 694-5898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 106662 (WV)

Record details

NPI number1124611454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2021
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address23 Tresara Dr, Fairmont, WV 26554-8837

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