Individual
NANCY JANE KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WA2000X
Administrator Registered Nurse
154266
MA
171W00000X
Contractor
—
—
363LF0000X
Family Nurse Practitioner
Primary
154266
MA
372500000X
Chore Provider
—
—
390200000X
Student in an Organized Health Care Education/Training Program
154266
MA
Other
Enumeration date
01/20/2009
Last updated
01/22/2016
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