Individual
ANDREW PAUL BUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2704 W OXFORD LOOP, OXFORD, MS 38655-5723
(662) 550-4299
(662) 580-4324
Mailing address
589 NORTHWOODS DR, GRENADA, MS 38901-8284
(228) 596-9234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
887970
MS
367500000X
Certified Registered Nurse Anesthetist
3-002810
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
887970
MS
Other
Enumeration date
09/10/2020
Last updated
03/26/2026
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