Healthcare Provider Details

I. General information

NPI: 1841253408
Provider Name (Legal Business Name): BUD W ZUNINO ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 POCAHONTAS RD
BAKER CITY OR
97814-1434
US

IV. Provider business mailing address

3195 N 2ND ST
BAKER CITY OR
97814-1809
US

V. Phone/Fax

Practice location:
  • Phone: 541-523-4415
  • Fax: 541-523-2399
Mailing address:
  • Phone: 360-357-8822
  • Fax: 541-523-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30005998
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200750136NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: