Provider / Organization | NPI | Date Certified |
---|---|---|
WINONA D BUNCH | 1336806637 | 2021-11-21 |
Winona D Bunch is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336806637. Registration indicates Winona D Bunch is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Mrs. Winona D Bunch FNP |
Practice Office Address | 1745 CALVIN RD WAYCROSS, GA US |
Practice Office Telephone | 9125506599 |
Mailing Address | 1745 CALVIN RD WAYCROSS, GA 315034532 US |
Business Telephone | 9125506599 |
Code | Practice | License No State |
---|---|---|
363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | RN128016
GA |