Individual
SHAWN TREVOR BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
1537 ELMIRA ST, SAYRE, PA 18840-9254
(570) 824-3521
Mailing address
3282 S 1380 W, NIBLEY, UT 84321-7953
(435) 890-5553
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
8315670-4405
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
83985
NM
Other
Enumeration date
01/25/2020
Last updated
09/23/2025
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