Provider Demographics
NPI:1790003283
Name:BUNTING, JULIE DENICE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DENICE
Last Name:BUNTING
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:DENICE
Other - Last Name:LAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-674-4700
Mailing Address - Fax:302-424-6127
Practice Address - Street 1:1019 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1201
Practice Address - Country:US
Practice Address - Phone:302-424-6120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily