NPI 1114402021

Debra Brunk, CNS

Practitioner Nutritionist Phoenix, AZ

Practice location

Address: 1428 E Northern Ave, Phoenix, AZ 85020-4319
Phone: (480) 442-0191
Mailing address: 3738 E Weldon Ave, Phoenix, AZ 85018-5816

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1114402021
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2018
Record last updated: 26 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.