Basic Information
Provider Information
NPI: 1952696825
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUNTING
FirstName: BARBARA
MiddleName: JEAN
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, RN, ANP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5053 WOOSTER RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452262326
CountryCode: US
TelephoneNumber: 5137512273
FaxNumber: 5137511848
Practice Location
Address1: 860 NW WASHINGTON BLVD
Address2:  
City: HAMILTON
State: OH
PostalCode: 45013
CountryCode: US
TelephoneNumber: 5137512273
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2011
LastUpdateDate: 04/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XAPRN.CNP.023472OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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