Provider Demographics
NPI:1861164931
Name:BRUNSMA, BRITNI NICOLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BRITNI
Middle Name:NICOLE
Last Name:BRUNSMA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 W BENT SHADOW CT
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-4520
Mailing Address - Country:US
Mailing Address - Phone:520-595-6410
Mailing Address - Fax:
Practice Address - Street 1:9000 N ORACLE RD STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7445
Practice Address - Country:US
Practice Address - Phone:520-595-6410
Practice Address - Fax:520-482-0399
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP317307207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine