Organization
ECLIPSE PSYCHIATRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA DANIELLE BRUNGARDT DNP, APRN (NURSE PRACTITIONER, OWNER)
(308) 224-4101
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 103, MARICOPA, AZ 85139-8964
(308) 224-4101
Mailing address
5805 I AVE, KEARNEY, NE 68847-8422
(308) 224-4101
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
05/15/2020
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