Individual
MS. ELIZABETH WHYTE BUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024171216
VA
363LA2100X
Acute Care Nurse Practitioner
16214
CA
Other
Enumeration date
01/26/2006
Last updated
10/25/2013
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