Individual
MRS. ASHLEY BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3116 AVENIDA CODORNIZ, SANTA FE, NM 87507-5028
(505) 470-7469
Mailing address
3116 AVENIDA CODORNIZ, SANTA FE, NM 87507-5028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2022008535
NM
363LF0000X
Family Nurse Practitioner
Primary
69106
NM
Other
Enumeration date
08/01/2022
Last updated
04/01/2024
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