Doctor Name: | MRS. CHRIS D. GUNDERSON |
NPI Number: | 1609904028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN130106 |
Business Practice Address: | 9261 W Van Buren St Tolleson, AZ - 853532941 |
Business Phone Number: | 6239369740 |
Business Fax Number: | 6239075187 |
Mailing Address: | 9261 W Van Buren St, TOLLESON |
State: | AZ |
Postal Code: | 853532941 |
Phone Number: | 6239369740 |
Fax Number: | 6239075187 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN130106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |