Individual
MS. MARY BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
STATE HWY 518, MILE MARKER 29, MORA, NM 87732-0185
(505) 387-5503
(505) 387-5502
Mailing address
PO BOX 185, MORA, NM 87732-0185
(505) 387-5503
(505) 387-5502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R11321
NM
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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