NPI Profile for BERNEAL E BUNDY in COLVILLE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical-Surgical |
163WM0705X |
| NPI # | 1548258643 |
|
| Status | Active | |
| Credentials | RN CRNFA | |
| Entity | Individual | |
| Enumeration date | 10/12/2005 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BERNEAL E BUNDY
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