Individual
MRS. MICHELLE LYN BUNDENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803
(407) 667-0444
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
337639
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9464976
FL
Other
Enumeration date
07/01/2012
Last updated
06/06/2018
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