Individual
SUMMER L BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
Mailing address
DEPT AT 952639, ATLANTA, GA 31192-0001
(225) 926-8686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10046
LA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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