INGE GISELA BUNDCHEN

PRESCOTT, AZ
NPI1942532734
Former NameINGE HORWATH ZWART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  AP4183)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AZ  RN137551)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  SXP-100025)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  SNP-100051)
Enumeration Date2010-02-04
Last Update Date2013-11-06
Business Address
-- INGE GISELA BUNDCHEN FPMHNP-BC
143 N MCCORMICK ST #103
PRESCOTT, AZ 86301-2723
Phone number: 928-899-7784
Mailing Address
-- INGE GISELA BUNDCHEN FPMHNP-BC
2983 LA QUESTA
PRESCOTT, AZ 86305-6429
Phone number: 928-899-7784