MRS. ANITA MARILYN GUNNUFSON


Address: Hc 76 Hwy 89a Jct 151, Prescott Valley, AZ 86314
Phone: 6023352000

MRS. ANITA MARILYN GUNNUFSON (NPI# 1508868092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508868092
Entity Type Individual
Full Name MRS. ANITA MARILYN GUNNUFSON
Credential RNP
Practice Address Hc 76 Hwy 89a Jct 151
Prescott Valley
AZ 86314
Mailing Address 7285 E Wren Dr
Prescott Valley
AZ 86314-5349
Practice Telephone 6023352000
Practice Fax Number 6023352049
Mailing Telephone 9286327562
Enumeration Date 2005-08-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN068982 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 067224 05

Office Location

Street Address HC 76 HWY 89A JCT 151
City PRESCOTT VALLEY
State AZ
Zip Code 86314

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City PRESCOTT VALLEY
Zip Code 86314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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