# SUNRISE MOBILE MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174370696
- **Authorized official:** DR. BRENDA FAITH GEISLER NURSE PRACTITIONER (NURSE PRACTITIONER)
- **Authorized official phone:** (480) 650-6546

## Contact information

- **Practice address:** 11209 N TATUM BLVD STE 140, PHOENIX, AZ 85028-3024
- **Practice address phone:** (480) 360-2282
- **Practice address fax:** (480) 631-0496
- **Mailing address:** 11209 N TATUM BLVD STE 140, PHOENIX, AZ 85028-3024
- **Mailing address phone:** (480) 360-2282
- **Mailing address fax:** (480) 631-0496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2024
- **Last updated:** 07/29/2024