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General NPI Number Information
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NPI Number | 1861164931
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Entity Type | Individual
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Provider Name | BRITNI NICOLE BRUNSMA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 12/15/2024
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Provider Practice Location Address
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Address Line | 9000 N ORACLE RD STE 100
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City | TUCSON
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State | AZ
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Zip | 85704-7445
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Country | US
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Telephone | 520-595-6410
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Fax | 520-482-0399
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Provider Business Mailing Address
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Address Line | 4161 W BENT SHADOW CT
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City | MARANA
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State | AZ
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Zip | 85658-4520
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Country | US
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Telephone | 520-595-6410
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RNP317307
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License Number State | AZ
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