Individual
REBECCA BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Mailing address
2191 VIRGINIA DR, XENIA, OH 45385-4652
(937) 603-9680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.467811
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2016
Last updated
12/11/2020
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