Individual
AMANDA ELIZABETH BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3745 SOUTHWAY DR SW APT 25, ROANOKE, VA 24014-2264
(540) 855-7913
Mailing address
3745 SOUTHWAY DR SW APT 25, ROANOKE, VA 24014-2264
(540) 855-7913
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000148
VA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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