INGE GISELA BUNDCHEN


Address: 143 N Mccormick St, #103, Prescott, AZ 86301-2723
Phone: 9288997784

INGE GISELA BUNDCHEN (NPI# 1942532734) 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) 1942532734
Entity Type Individual
Full Name INGE GISELA BUNDCHEN
Other Name INGE HORWATH ZWART
Credential FPMHNP-BC
Practice Address 143 N Mccormick St
#103
Prescott
AZ 86301-2723
Mailing Address 2983 La Questa
Prescott
AZ 86305-6429
Practice Telephone 9288997784
Mailing Telephone 9288997784
Enumeration Date 2010-02-04
Last Update Date 2013-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN137551 AZ Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SNP-100051 CO Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SXP-100025 CO Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP4183 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 143 N MCCORMICK ST
#103
City PRESCOTT
State AZ
Zip Code 86301-2723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619930526 Karen Lynn Sullivan Psychologist 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2006-04-11
1679025936 Women On The Move, LLC Community/Behavioral Health 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2016-11-02
1245655851 Kimberly Dyan Harris Naturopath 143 N Mccormick St, Suite 102, Prescott, AZ 86301-2723 2014-02-19
1891095667 Mary J Huff Psychiatric Nurse Practitioner Pllc Nurse Practitioner 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2010-10-27
1720165343 Dee Gray Psychologist 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2006-11-01
1992882104 Jeannie Mehl Counselor 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2006-11-01
1265455125 Arthur Lynn Heitzman Psychologist 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2006-07-25
1295783983 Mary J. Huff Nurse Practitioner 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2006-05-04

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912518853 Serene Life LLC Nurse Practitioner 143 N Mccormick St Ste 103, Prescott, AZ 86301-2725 2020-08-13
1801394184 Serenity Psychiatric Health Inc. Nurse Practitioner 143 N Mccormick St Ste 103, Prescott, AZ 86301-2725 2018-02-01
1891095667 Mary J Huff Psychiatric Nurse Practitioner Pllc Nurse Practitioner 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2010-10-27
1295783983 Mary J. Huff Nurse Practitioner 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 2006-05-04
1043217755 Susan Elaine Spear Nurse Practitioner 1090 Commerce Dr, Prescott, AZ 86305 2005-07-07

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Competitor

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City PRESCOTT
Zip Code 86301

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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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