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NPI Code Detail

MEDICARE: ANN M BUNNELL APNP

MEDICARE: ANN M BUNNELL APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209.030733IL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner499-33WI
3163WP0808XPsychiatric/Mental Health Registered Nurse119346-30WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11285957399OTHERWIBCBSWI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31285957399OTHERWIDEANHEALTH PLAN
4BUNNEANN-MOOTHERWIMERCYCARE INSURANCE

General Provider Information

NPI Number : 1285957399
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN M BUNNELL APNP
Provider Business Mailing Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6508
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2010
Last Update Date : 04/01/2026

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