13241 W JACOBSON DR
LITCHFIELD PARK, AZ 85340-5394 US PECOS Enrolled
Adrian Alexander Bunta
Nurse Practitioner (Family)
- LITCHFIELD PARK, AZ
- Phone: (623)-734-0167
- Last Updated 7/20/2021
Overview
Adrian Alexander Bunta is a Nurse Practitioner (Family) in the LITCHFIELD PARK area. Adrian Alexander Bunta primary office location is at 13241 W JACOBSON DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1043542061 and the information was updated approximately 4 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 220199 | AZ |
| LPC-12461 | AZ |
| RN169699 | AZ |
| Type/Issuer | Identifier | State |
|---|---|---|
| ARIZONA STATE BOARD OF NURSING | 220199 | AZ |
| AANPCB | F11180888 | - |
| AZBBHE | LPC-12461 | AZ |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | AZ | Y |
| Mental Health Counselor - Taxonomy Code 101YM0800X | AZ | N |
| Registered Nurse - Taxonomy Code 163W00000X | AZ | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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