Individual provider · NPI-1
Taylor D. Brunson, FNP-C
Nurse Practitioner, Family · Buckeye, AZ
NPI number1679450514
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1679450514
- Entity type
- Individual (NPI-1)
- Name
- Taylor D. Brunson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2025
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 328411 | AZ | Yes |
Practice location
20640 W Roosevelt StSuite 104
Buckeye, AZ 85326-1555
Phone 480-677-8282 · Fax 844-470-2777
Mailing address
261 N Roosevelt AveChandler, AZ 85226-2617
Phone 480-677-8282 · Fax 888-316-1686
Other practice locations
19550 W Indian School Rd Ste 102
Buckeye, AZ 85396-2078
Buckeye, AZ 85396-2078
Phone 480-677-8282 · Fax 844-470-2777
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