Individual
ELISE RACHELLE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3100 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27612-8036
(919) 781-7500
Mailing address
3100 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27612-8036
(919) 781-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03916
NC
Other
Enumeration date
04/09/2013
Last updated
04/22/2013
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