Bunnell, Maurice Edwards

Bunnell, Maurice Edwards is an individual health care provider with primary practice located at 232 Cedar St , New Haven CT 06519-1610. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Bunnell, Maurice Edwards can be contacted via phone (203) 503-3300.

Contact Information

Primary practice address
232 Cedar St New Haven CT 06519-1610
Phone: (203) 503-3300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002910 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2910 Connecticut

Profile Details

NPI number 1194053777
LBN Legal business name Bunnell, Maurice Edwards
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2009
Last updated Oct 27th, 2016 - about 10 years 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 1194053777 NPPES
Connecticut Other 008050090 BUNNELL MEDICAID
Connecticut Other D400292158 BUNNELL MEDICAID

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