Individual
MRS. EMILY ELIZABETH BUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-0962
Mailing address
12152 85TH AVE N, MAPLE GROVE, MN 55369-4641
(612) 214-4618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R164694-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720482565
—
MN
Enumeration date
10/21/2014
Last updated
02/13/2017
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