# MAURICE EDWARDS BUNNELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194053777
- **Gender:** Man
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 002910 | CT | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 2910 | CT | — |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 10/27/2016