Organization
BRUNCUSO HOLDINGS LLC
Active
Other names
GreenWell Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STONE (INDIRECT OWNER)
(310) 955-0037
Entity
Organization
Contact information
Practice address
4705 E CAREFREE HWY STE 131, CAVE CREEK, AZ 85331-4745
(480) 847-2273
(480) 847-2271
Mailing address
4705 E CAREFREE HWY STE 131, CAVE CREEK, AZ 85331-4745
(480) 847-2273
(480) 847-2271
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
06/08/2026
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