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Individual

SUSAN EILEEN BUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
859 N MAIN ST, MALTA, OH 43758-9007
(740) 962-6111
(740) 962-1657
Mailing address
5700 TUNIS RD, ZANESVILLE, OH 43701-8838
(740) 453-4416

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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