Individual
HEATHER BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5308 HARROUN RD STE 55, SYLVANIA, OH 43560-2174
(419) 824-6599
(419) 882-3870
Mailing address
5308 HARROUN RD STE 55, SYLVANIA, OH 43560-2174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704347908
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922697168
—
MI
Enumeration date
01/12/2021
Last updated
04/02/2026
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