Organization
HOMEBOUND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTEN MARIE GUNDER RN,BSN, MSN, ANP-BC (PRESIDENT)
(855) 550-5605
Entity
Organization
Contact information
Practice address
18211 GIFFORD RD, WELLINGTON, OH 44090-8910
(855) 550-5605
Mailing address
PO BOX 208, WELLINGTON, OH 44090-0208
(855) 550-5605
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063665024
EMPLOYEE NPI
OH
05
—
3130865
—
OH
Enumeration date
12/28/2010
Last updated
02/29/2012
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