MRS. BERNEAL E. BUNDY


Address: 1200 E Columbia Ave, Colville, WA 99114-3354
Phone: 5096843701

MRS. BERNEAL E. BUNDY (NPI# 1548258643) 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) 1548258643
Entity Type Individual
Full Name MRS. BERNEAL E. BUNDY
Credential RN CRNFA
Practice Address 1200 E Columbia Ave
Colville
WA 99114-3354
Practice Telephone 5096843701
Practice Fax Number 5096845817
Mailing Telephone 5096843701
Mailing Fax Number 5096845817
Enumeration Date 2005-10-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
RN00040561 WA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8118986 05
L & I 30382 01

Office Location

Street Address 1200 E COLUMBIA AVE
City COLVILLE
State WA
Zip Code 99114-3354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301483 Richard C. Lee Pharmacist 1200 E Columbia Ave, Colville, WA 99114-3354 2005-07-27
1346856986 Cheryl Swanson Nelson Social Worker 1200 E Columbia Ave, Colville, WA 99114-3354 2020-09-18
1962064683 Gregory Ian Collin Registered Nurse 1200 E Columbia Ave, Colville, WA 99114 2019-07-02
1235605213 Brianna L Wing Physician Assistant 1200 E Columbia Ave, Colville, WA 99114-3354 2018-10-17
1821444704 Kelly Christine Glidewell Nurse Practitioner 1200 E Columbia Ave, Colville, WA 99114-3354 2016-05-10
1528445368 Kristin Michelle Comstock Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2015-04-30
1851778070 Jill M Neiman Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2015-04-27
1568874733 Katrina Marie Maher Family Medicine 1200 E Columbia Ave, Colville, WA 99114 2014-05-22
1649607631 Richard Jason Cardenas Physician Assistant 1200 E Columbia Ave, Colville, WA 99114-3354 2013-10-04
1902242365 Joseph Cwik Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2013-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033774799 Salamia Mikheyeva Massage Therapist 697 Gillette Rd., Colville, WA 99114 2019-05-07
1053897694 Rochelle Diconti Counselor 358 E Birch Ave Ste 101, Colville, WA 99114 2018-07-17
1679073928 Laurel Shull Massage Therapist 298 S. Main St., Suite 208, Colville, WA 99114 2018-02-13
1235638123 Taylor Vanwicklen Nurse's Aide 165 E. Hawthorne Ave, Colville, WA 99114 2018-02-06
1932608833 Sandra Ingram Registered Nurse 165 E. Hawthorne Avenue, Colville, WA 99114 2018-02-06
1831451350 Catherine M Lochner Occupational Therapist 1366 Onion Creek Rd., Colville, WA 99114 2012-06-11
1245552215 Georgia Rae Goot Hearing Instrument Specialist 519 S. Main St., Colville, WA 99114 2010-02-18
1801018619 David W King Counselor 165 E Hawthorne Avenue, Colville, WA 99114 2007-05-02
1497976484 Jack Darrell Esvelt Dentist 181 E 1st, Colville, WA 99114 2007-05-01
1730229709 Carol H Leach Registered Nurse 982 E Columbia Ave Ste 201, Colville, WA 99114 2007-02-07
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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1407481690 Sarah Lydia Stacpoole Registered Nurse 1035 116th Ave Ne Unit East2, Bellevue, WA 98004-4604 2020-03-08
1558833301 Olga P Tsytsyna Registered Nurse 19117 Ne 65th St, Vancouver, WA 98682-9615 2018-12-18
1235600651 Linnea Hope Briggs Registered Nurse 1130 N 90th St, Seattle, WA 98103-4002 2018-12-10
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1386081487 Susan Patricia Baker Registered Nurse 3209 Se 18th St, Renton, WA 98058-3802 2013-05-29
1639302417 Rosewood Professional Center, LLC Registered Nurse 414 E. Woodin Ave, Chelan, WA 98816-9648 2009-08-27
1538320759 Jessica Lynn Wong Registered Nurse 8712 Nw 14th Ave, Vancouver, WA 98665-6910 2008-06-20
1538335898 Ai-giang T Tra Registered Nurse 11235 Se 268th St, Kent, WA 98030-7180 2008-05-06
1134243355 Charles Mark Peterson Registered Nurse 830 14th Ave, Seattle, WA 98122-4508 2007-03-16
1053418525 Joann Allison R.n.f.a. Registered Nurse 110 South 9th Ave, Yakima, WA 98901 2006-09-19
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Competitor

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City COLVILLE
Zip Code 99114

Improve Information

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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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