Mary Bunzel, NP
Individual provider Active NPI Family Nurse Practitioner · Albany, CA
NPI 1164517850 · NPPES record last updated Oct 30, 2017
Key facts
- NPI
- 1164517850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1092 (CA)
- Practice address
- 500 San Pablo Ave
Albany, CA 94706-1103 - Phone
- (510) 204-8130
- Fax
- (510) 524-0861
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10692 | CA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10692 | CA | |
| Family Nurse Practitioner | 363LF0000X | 1092 | CA | Yes |
Addresses
Primary practice location
500 San Pablo Ave
Albany, CA 94706-1103
Mailing address
500 San Pablo Ave
Albany, CA 94706-1103
Phone (510) 204-8130
Other practice location 1
500 San Pablo Ave
Suite 300
Albany, CA 94706-1127
Phone (510) 524-9247
Other providers in Albany, CA
- Sonya Brewer
- Kelly Britton
- Christopher Brown
- Lisa Bruce
- Lillie Brum
- Ada Burko
- Rebecca Burns
- Jenifer Butler
- California Sports Physical Therapy Centers Inc
- Amanda Beth Campbell
All providers in Albany, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.