Provider Demographics
NPI:1154797249
Name:SUNBURY, BRITTNI MARIE (FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRITTNI
Middle Name:MARIE
Last Name:SUNBURY
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14832 N 47TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4803
Mailing Address - Country:US
Mailing Address - Phone:602-715-5974
Mailing Address - Fax:
Practice Address - Street 1:14832 N 47TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4803
Practice Address - Country:US
Practice Address - Phone:602-715-5974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7886363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner