Healthcare Provider Details

I. General information

NPI: 1629992839
Provider Name (Legal Business Name): BUNDY FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2372 SAGEWOOD AVE
CASPER WY
82601-5018
US

IV. Provider business mailing address

2372 SAGEWOOD AVE
CASPER WY
82601-5018
US

V. Phone/Fax

Practice location:
  • Phone: 307-797-5829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MORGAN CHERIE BUNDY
Title or Position: OWNER/OPERATOR
Credential: NP
Phone: 307-797-5829