Individual
MICHELLE MARY BUMGARDNER
Active
Individual
MICHELLE MARY BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024193855
VA
363LF0000X
Family Nurse Practitioner
12400
OH
363LF0000X
Family Nurse Practitioner
4040065
KY
363LF0000X
Family Nurse Practitioner
Primary
5022604
NC
363LF0000X
Family Nurse Practitioner
71016895A
IN
363LF0000X
Family Nurse Practitioner
SP031667
PA
Other
Enumeration date
11/09/2010
Last updated
06/02/2026
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