| Doctor Name: | PENNY VALENTI BUNCE |
| NPI Number: | 1063541183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-C |
| License Number: | RN031821 AP01246 |
| Business Practice Address: | 100 S Military Rd Slidell, LA - 704614157 |
| Business Phone Number: | 9856414898 |
| Business Fax Number: | 9856496512 |
| Mailing Address: | 153 Chestnut Oak Dr, MANDEVILLE |
| State: | LA |
| Postal Code: | 704486286 |
| Phone Number: | 9856266925 |
| Fax Number: | 9856496512 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN031821 AP01246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |