DIANA L BUNZEL


Address: 955 Legends Ter, Mt Pleasant, SC 29464-9527
Phone: 8315214620

DIANA L BUNZEL (NPI# 1457411910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457411910
Entity Type Individual
Full Name DIANA L BUNZEL
Credential CNS
Practice Address 955 Legends Ter
Mt Pleasant
SC 29464-9527
Practice Telephone 8315214620
Practice Fax Number 8433885024
Mailing Telephone 8315214620
Mailing Fax Number 8433885024
Enumeration Date 2006-12-12
Last Update Date 2012-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
APN 3178 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 955 LEGENDS TER
City MT PLEASANT
State SC
Zip Code 29464-9527

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1417446204 Michael Adam Sugarman Clinical Neuropsychologist 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 2018-05-07
1578064192 Ancillary Specialists LLC Durable Medical Equipment & Medical Supplies 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 2018-02-28
1346769015 Christin Solomon Zerega Counselor Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 2017-09-14
1336660315 Charleston Neuropsychology LLC Psychologist 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 2017-06-29
1790219970 Adam Hudepohl Family Medicine 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 2017-04-14
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568905081 Judy Claire Paull Clinical Nurse Specialist 18 Stable Gate Rd, Hilton Head Island, SC 29926-1059 2016-12-01
1639106511 Donna Willson Upchurch Clinical Nurse Specialist 1401 1/2 Calhoun St, Columbia, SC 29201-2509 2006-06-27
1063448108 Marilyn Mcsherry Earle Clinical Nurse Specialist 10 Old Country Roses, Bluffton, SC 29909 2006-06-23
1154667202 Laura Anita Dunn Clinical Nurse Specialist 452 Lakeshore Pkwy, Suite 105, Rock Hill, SC 29730-4291 2012-12-18
1598076168 Jeanette Ehlers Spence Clinical Nurse Specialist 115 Atrium Way Ste 221, Lake Psychological Services, Columbia, SC 29223-6383 2010-06-29
1487734620 Mary L. Tobin Clinical Nurse Specialist 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 2006-10-16
1093810046 Virginia A Rueger Clinical Nurse Specialist 171 Ashley Ave, Charleston, SC 29425-8908 2006-09-14
1659394492 Pharon A. Johnston Clinical Nurse Specialist 1330 Taylor At Marion Street, Palmetto Baptist Counseling Center, Columbia, SC 29201 2006-07-25
1861492092 Susan Vigeant Clinical Nurse Specialist 2400 W Main St, Rock Hill, SC 29732-8968 2005-07-29

Competitor

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City MT PLEASANT
Zip Code 29464

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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