Bundchen, Inge Gisela

Bundchen, Inge Gisela is an sole proprietor health care provider with primary practice located at 143 N Mccormick St #103, Prescott AZ 86301-2723. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bundchen, Inge Gisela can be contacted via phone (928) 899-7784.

Contact Information

Primary practice address
143 N Mccormick St #103 Prescott AZ 86301-2723
Phone: (928) 899-7784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP4183 Arizona
Nursing Service Providers / Registered Nurse 163W00000X RN137551 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SXP-100025 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SNP-100051 Colorado

Profile Details

NPI number 1942532734
LBN Legal business name Bundchen, Inge Gisela
Credentials FPMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2010
Last updated Nov 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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