Doctor Name: | MRS. PATRICIA BUNTING |
NPI Number: | 1164843546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP013095 |
Business Practice Address: | 132 Manly Rd Tafton, PA - 184647829 |
Business Phone Number: | 5702262151 |
Business Fax Number: | |
Mailing Address: | 601 Park St, HONESDALE |
State: | PA |
Postal Code: | 184311445 |
Phone Number: | 5702538226 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2014 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP013095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |