Provider Demographics
NPI:1588163604
Name:BRUMFIELD, COURTNEY SUNSHINE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:SUNSHINE
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-2217
Mailing Address - Country:US
Mailing Address - Phone:330-988-5457
Mailing Address - Fax:
Practice Address - Street 1:221 W LIBERTY ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2217
Practice Address - Country:US
Practice Address - Phone:330-410-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-04
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028220363LP0808X
OHRN.434666163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health