Samantha Bunch, APRN FNP-BC
Nurse Practitioner, Primary Care in Saint Peters, MO. Individual provider (NPI-1).
NPI number1679247019
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1679247019
- Entity type
- Individual (NPI-1)
- Name
- Samantha Bunch
- Credential
- APRN FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2021
- Certification date
- Mar 1, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 2021022692 | MO | Yes |
Practice location
5200 Executive Centre Pkwy Ste 300Saint Peters, MO 63376-3394
Phone 636-229-4222
Mailing address
5200 Executive Centre Pkwy Ste 300Saint Peters, MO 63376-3394
Phone 636-229-4222
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