Provider Demographics
NPI:1063745321
Name:BUNKER, CRISTY N (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:CRISTY
Middle Name:N
Last Name:BUNKER
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 JEFFERSON STREET; ATTN;MEDICAL
Mailing Address - Street 2:CHEVRON PHILLIPS CHEMICAL
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506
Mailing Address - Country:US
Mailing Address - Phone:713-475-3780
Mailing Address - Fax:
Practice Address - Street 1:1414 JEFFERSON ST
Practice Address - Street 2:MEDICAL
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506
Practice Address - Country:US
Practice Address - Phone:713-475-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily