STAR BUMBANAC

Nurse Practitioner - Family

Active Individual
NPI: 1205212289

Practice Address

1001 WEST ST
Carthage, NY 13619

Phone: (734) 793-6140

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No SP029531 (PA)
Nurse Practitioner - Family 363LF0000X Yes 11014087 (FL)

Frequently Asked Questions

NPI 1205212289 is the National Provider Identifier for STAR BUMBANAC, a Nurse Practitioner - Family provider located in Carthage, NY. This NPI was enumerated on August 3, 2015.
STAR BUMBANAC practices at 1001 WEST ST, Carthage, NY 13619.

Quick Facts

NPI
1205212289
Type
Individual
Enumerated
Aug 3, 2015
Last Updated
May 10, 2024

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