Individual
KATHERINE N BUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 DIVISION ST FL 1, DERBY, CT 06418-1326
(203) 732-1257
(203) 732-2470
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2954
CT
363LA2200X
Adult Health Nurse Practitioner
002954
CT
Other
Enumeration date
09/12/2006
Last updated
03/21/2023
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