Individual
SUSAN EILEEN BUNNER
Active
Individual
SUSAN EILEEN BUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN133264
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.00853NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293887
—
OH
Enumeration date
09/27/2005
Last updated
06/15/2016
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