Individual
MS. GAIL EVELYN BUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NP, BC
Contact information
Practice address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 793-2355
(401) 793-7624
Mailing address
119 KIWANEE RD, WARWICK, RI 02888-4040
(401) 463-5312
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NPP18642
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2767-8
BLUE CROSS BLUE SHIELD
RI
01
—
406995
BLUE CHIP
RI
05
—
9002767
—
RI
01
—
NPP18642
NP STATE LICENSE
RI
01
—
RO5264
UNITED HEALTH PLAN
RI
Enumeration date
02/27/2007
Last updated
07/08/2007
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