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Contact Information

MAURICE E BUNNELL, APRN
8 GENESEE LN
MADISON, CT06443
 Phone: 860-930-8781
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MAURICE E BUNNELL · (Male)

NPI Number 1194053777
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 11/19/2009
Last updated 10/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002910
  • CT License # 2910
  • CT Other 008050090 BUNNELL MEDICAID
  • CT Other D400292158 BUNNELL MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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