Provider Demographics
NPI:1942749759
Name:BUNN PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:BUNN PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARKHURST-ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-C
Authorized Official - Phone:252-200-4959
Mailing Address - Street 1:23 NC 98 HWY E STE 400
Mailing Address - Street 2:
Mailing Address - City:BUNN
Mailing Address - State:NC
Mailing Address - Zip Code:27508-7291
Mailing Address - Country:US
Mailing Address - Phone:252-200-4959
Mailing Address - Fax:
Practice Address - Street 1:23 NC 98 HWY E STE 400
Practice Address - Street 2:
Practice Address - City:BUNN
Practice Address - State:NC
Practice Address - Zip Code:27508-7291
Practice Address - Country:US
Practice Address - Phone:252-200-4959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006762261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care