Individual
LAURA BUNTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 S UNIVERSITY AVE, STE 1610, PROVO, UT 84601-4427
(801) 851-7052
(801) 851-7063
Mailing address
151 S UNIVERSITY AVE, STE 1610, PROVO, UT 84601-4427
(801) 851-7052
(801) 851-7063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7672149-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225109063
—
UT
05
—
1891865010
—
UT
05
—
998877660009
—
UT
05
—
PR00489
—
UT
Enumeration date
10/09/2013
Last updated
10/09/2013
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