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NPI Code Detail

MEDICARE: MRS. CHERYL CHUA BUNCIO FNP

MEDICARE:  MRS. CHERYL CHUA BUNCIO  FNP
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
1363LF0000XFamily Nurse Practitioner22725CA

General Provider Information

NPI Number : 1437595113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYL CHUA BUNCIO FNP
Provider Business Mailing Address
First Line : 1805 BURDORF CT
Second Line :
City : FULLERTON
State : CA
Zip : 92833-5084
Country : US
Telephone Number : 714-726-1960
Fax Number :
Provider Business Practice Location Address
First Line : 1339 W WILLOW ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3116
Country : US
Telephone Number : 562-492-6698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/21/2013

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Directions to “ MRS. CHERYL CHUA BUNCIO FNP” Practice Location

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