Provider Demographics
NPI:1871548701
Name:BUNZEL, DEENA MARIE (RNP)
Entity type:Individual
Prefix:MS
First Name:DEENA
Middle Name:MARIE
Last Name:BUNZEL
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
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Mailing Address - Street 1:5979 STARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-1763
Mailing Address - Country:US
Mailing Address - Phone:408-997-2123
Mailing Address - Fax:408-363-3082
Practice Address - Street 1:80 GREAT OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1310
Practice Address - Country:US
Practice Address - Phone:408-363-3000
Practice Address - Fax:408-363-3082
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA10173363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology