Individual
ANNA M BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-6994
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9670
CT
363L00000X
Nurse Practitioner
NPPP32448
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP32448
LICENSE NUMBER
RI
Enumeration date
07/29/2005
Last updated
05/18/2021
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