Bundy, Madeline

Bundy, Madeline is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504-0649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bundy, Madeline can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504-0649
Fax:
Website:

Profile Details

NPI number 1811425572
LBN Legal business name Bundy, Madeline
Credentials MPH, CNM, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2017
Last updated Aug 20th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811425572 NPPES
Virginia MEDICAID 0024181291

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