Most Relevant Information
Provider Data
| NPI Number: | 1003408303 |
| Provider Name: | SONIA TERESA BRUNSON FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 253653 |
Most Important Dates
| Enumeration Date: | 02/08/2021 |
| Last Updated: | 02/08/2021 |
Provider Practice Location
1717 E MORTEN AVE UNIT 54
PHOENIX
AZ
850204757
Practice Location Phone/Fax
| Phone: | 9254139919 |
| Fax: |
Provider Mailing Location
1717 E MORTEN AVE UNIT 54
PHOENIX
AZ
850204757
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |