Individual
MARION WELCH BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1166 HILTS RD, WRIGHTSVILLE, PA 17368-9205
(888) 852-6672
(305) 891-4228
Mailing address
1065 NE 125TH ST STE 300, NORTH MIAMI, FL 33161-5833
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN536053
PA
363L00000X
Nurse Practitioner
SP007700
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP007700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001457812
HIGHMARK BLUE SHIELD
PA
01
—
50036439
BLUE CROSS
PA
Enumeration date
04/10/2006
Last updated
11/08/2023
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