MRS. CYNTHIA ANN BUNDE PA NPI 1417909862

NPI Information

NPI: 1417909862
Provider Name: MRS. CYNTHIA ANN BUNDE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
429 WASHINGTON AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 233-6245
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MRS. Cynthia Ann Bunde, PA is a medical physician assistant in Pocatello, ID. MRS. Cynthia Ann Bunde, PA NPI is 1417909862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

429 WASHINGTON AVE
POCATELLO, ID
ZIP 83201-520
Phone: (208) 233-6245
Fax: (208) 233-1065

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA-306	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010155655	OTHER	IDAHO	REGENCE-BS OF IDAHO
2	805811300	MEDICAID	IDAHO
3	Q21940	MEDICARE UPIN	IDAHO
4	PAG74	OTHER	IDAHO	BLUE CROSS OF IDAHO
5	P00382898	OTHER		RAILROAD MEDICARE
6	16660051	MEDICARE PIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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