Individual
MARISSA BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17000 W NORTH AVE STE 107W, BROOKFIELD, WI 53005-4423
(414) 785-7740
Mailing address
17000 W NORTH AVE STE 107W, BROOKFIELD, WI 53005-4423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9834
WI
Other
Enumeration date
02/11/2020
Last updated
08/28/2020
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