Individual
DR. PAULA D BRUNGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
352 W VERDE LN, TEMPE, AZ 85284-1345
(308) 224-4101
(480) 908-1567
Mailing address
352 W VERDE LN, TEMPE, AZ 85284-1345
(308) 224-4101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112478
NE
363LF0000X
Family Nurse Practitioner
237934
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
237934
AZ
Other
Enumeration date
06/13/2018
Last updated
03/31/2025
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