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Individual

MRS. DIANNE LOUISE BUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 949-3710
(251) 949-3715
Mailing address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-088480
AL
363LN0005X
Critical Care Neonatal Nurse Practitioner
COA.12665-NP
OH

Other

Enumeration date
11/19/2011
Last updated
07/18/2023
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