Individual
MRS. NANCY LA BUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8221 TEAL DR, SUITE 301, EASTON, MD 21601-7227
(410) 820-5945
(410) 820-9642
Mailing address
8221 TEAL DR, SUITE 301, EASTON, MD 21601-7227
(410) 820-5945
(410) 820-9642
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AC000387
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820000
—
MD
01
—
AC000387
NURSE PRACTITIONER
MD
01
—
R033948
REGISTERED NURSE
MD
Enumeration date
09/12/2006
Last updated
03/01/2010
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