Individual
KRISTEN JEAN BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1522 W MORRIS ST, INDIANAPOLIS, IN 46221-1629
(317) 957-2500
(317) 957-2520
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
09000143A
IN
367A00000X
Advanced Practice Midwife
Primary
09000143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540688
MEDICARE
IN
05
—
200873960
—
IN
Enumeration date
10/10/2007
Last updated
03/13/2023
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