Individual
DR. ADRIAN ALEXANDER BUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
13241 W JACOBSON DR, LITCHFIELD PARK, AZ 85340-5394
(623) 734-0167
Mailing address
13241 W JACOBSON DR, LITCHFIELD PARK, AZ 85340-5394
(623) 734-0167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-12461
AZ
163W00000X
Registered Nurse
RN169699
AZ
363LF0000X
Family Nurse Practitioner
Primary
220199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220199
ARIZONA STATE BOARD OF NURSING
AZ
01
—
F11180888
AANPCB
—
01
—
LPC-12461
AZBBHE
AZ
Enumeration date
02/01/2010
Last updated
07/20/2021
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