Individual
MS. MADELINE BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CNM, WHNP-BC
Contact information
Practice address
1900 ELECTRIC RD STE 1030, SALEM, VA 24153-7474
(540) 774-6000
Mailing address
1900 ELECTRIC RD STE 1030, SALEM, VA 24153-7474
(540) 774-6000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024181291
VA
367A00000X
Advanced Practice Midwife
879
NC
367A00000X
Advanced Practice Midwife
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024181291
—
VA
Enumeration date
05/25/2017
Last updated
03/25/2024
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