Individual
ANNETTE DEWITTE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
40 E MITCHELL DR, PHOENIX, AZ 85012-2330
(360) 336-6868
(360) 336-6866
Mailing address
202 E EARLL DR STE 200, PHOENIX, AZ 85012-2647
(602) 808-2800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3928
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585976
—
AZ
Enumeration date
11/27/2006
Last updated
07/21/2022
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