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Organization
OAK TREE PSYCHIATRY, LLC
Active
Organization
OAK TREE PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIVAGO BUNTING DNP, APRN, PMHNP-BC (OWNER)
(240) 444-6100
Entity
Organization
Contact information
Practice address
8775 CENTRE PARK DR # M613, COLUMBIA, MD 21045-2177
(240) 444-6110
(888) 687-0848
Mailing address
8775 CENTRE PARK DR # M613, COLUMBIA, MD 21045-2177
(240) 444-6110
(888) 687-0848
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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