Individual
MS. MARSHA LYNN BUNNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 680-3699
Mailing address
1 PLAZA SOUTH ST, PMB 261, TAHLEQUAH, OK 74464-4750
(918) 931-2835
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0033298
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10085043A
—
OK
01
—
R0033298
LICENSE
OK
Enumeration date
07/11/2005
Last updated
07/09/2007
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