Provider Demographics
NPI:1336975085
Name:FLUNKER, BRIANNA (NMD)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:FLUNKER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 E DES MOINES ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-5820
Mailing Address - Country:US
Mailing Address - Phone:805-428-4285
Mailing Address - Fax:
Practice Address - Street 1:8130 E DES MOINES ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-5820
Practice Address - Country:US
Practice Address - Phone:805-428-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath