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Individual

MRS. ANITA MARILYN GUNNUFSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
HC 76 HWY 89A JCT 151, PRESCOTT VALLEY, AZ 86314
(602) 335-2000
(602) 335-2049
Mailing address
7285 E WREN DR, PRESCOTT VALLEY, AZ 86314-5349
(928) 632-7562

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN068982
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067224
AZ
Enumeration date
08/15/2005
Last updated
07/08/2007
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