Laura Bunting, RN
Registered Nurse in Provo, UT. Individual provider (NPI-1).
NPI number1104253012
StatusActive
Last updated in NPPESOct 9, 2013
Details
- NPI
- 1104253012
- Entity type
- Individual (NPI-1)
- Name
- Laura Bunting
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2013
- Last updated
- Oct 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 7672149-3102 | UT | Yes |
Other names
- Camille Kaouk (Professional Name)
Practice location
151 S University AveSte 1610
Provo, UT 84601-4427
Phone 801-851-7052 · Fax 801-851-7063
Mailing address
151 S University AveSte 1610
Provo, UT 84601-4427
Phone 801-851-7052 · Fax 801-851-7063
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