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ANGELA DENISE BUNNER NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1669718169

Individual Registrant:
 ANGELA DENISE BUNNER NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
20 E MCMURTRY AVE  HARTFORD, KY 42347-1647 US
Tel: 270-504-1300  Fax: 270-504-1380

Contact information for business:
PO BOX 148  HARTFORD, KY 42347-0148 US
Tel: 270-504-1300  Fax: 270-504-1380

Registration Information:
NPI: 1669718169
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
KY3007915
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
IN71004323A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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