Bunnell, Garrett Riley

Bunnell, Garrett Riley is an individual health care provider with primary practice located at 1430 Lindberg Dr , Slidell LA 70458-8056. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Bunnell, Garrett Riley can be contacted via phone (985) 781-7337.

Contact Information

Primary practice address
1430 Lindberg Dr Slidell LA 70458-8056
Phone: (985) 781-7337
Fax: (844) 743-3349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 202909 Louisiana

Profile Details

NPI number 1578120069
LBN Legal business name Bunnell, Garrett Riley
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578120069 NPPES
Louisiana Other 202909 LOUISIANA BOARD OF NURSING

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