Healthcare Provider Details

I. General information

NPI: 1235040189
Provider Name (Legal Business Name): BRIA SUNBURY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43507 N IRONWOOD DR
QUEEN CREEK AZ
85140-9312
US

IV. Provider business mailing address

2468 E PARKVIEW DR
GILBERT AZ
85295-2342
US

V. Phone/Fax

Practice location:
  • Phone: 480-757-2253
  • Fax:
Mailing address:
  • Phone: 480-645-4185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: