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CANDRA BUNN PA
NPI 1477301679
Physician Assistant in Riverton, UT

Active since May 11, 2024
3773 W 12600 S, RIVERTON, UT 84065(801) 285-1285 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2025, May 11, 2024 (2 updates tracked since 2024).

About Candra Bunn Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDRA BUNN PA (NPI 1477301679) is an individual physician assistant in Riverton, Utah, licensed in Utah (14246993-1206) and active in the NPI registry since May 2024. She maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1477301679
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCANDRA BUNNCredential: PA
Location Address3773 W 12600 SRiverton, UT 84065-5577
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(801) 285-1285
Sole ProprietorNo
Enumeration DateMay 11, 2024
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1477301679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14246993-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3773 W 12600 S, Riverton, UT 84065
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Secondary Practice Location 1

Location 11800 Novell PlProvo, UT 84606-6171 · Phone (801) 907-1342

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKENNA PETERSON CARNESECCA
Behavior Analyst
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-2400
LAUREN NICOLE PABST AYALA DPT
Physical Therapist
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 587-2255
JESSICA DO PA
Physician Assistant
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-1285
JESSICA ANNA OSOS MA, BCBA, LBA
Behavior Analyst
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (586) 864-4970
IHC HEALTH SERVICES, INC.
Behavior Analyst
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-2400
CAROLINE ADELE CIZEK
Speech-Language Pathologist
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-1700
ANDIE MARIE STEVENS
Occupational Therapist (Pediatrics)
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-1700
KAITLYN MAXFIELD
Speech-Language Pathologist
3773 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 662-2950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candra Bunn's NPI number?

The NPI number for Candra Bunn is 1477301679. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Candra Bunn located?

Candra Bunn practices at 3773 W 12600 S, Riverton, UT 84065. The listed phone number is (801) 285-1285.

What is Candra Bunn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Candra Bunn was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.