Healthcare Provider Details

I. General information

NPI: 1821951617
Provider Name (Legal Business Name): MELANIE BUNOVICH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11279 PERRY HWY
WEXFORD PA
15090-9381
US

IV. Provider business mailing address

1265 HOLLY ST
WESTMORELAND CITY PA
15692-1251
US

V. Phone/Fax

Practice location:
  • Phone: 412-206-9107
  • Fax:
Mailing address:
  • Phone: 724-989-1453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN768803
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: