Bruncuso Holdings Chapter Two LLC
NPI #1740050822 in Cave Creek, Arizona
Provider Information
- NPI Number
- 1740050822
- Entity Type
- Organization
- Organization Name
- Bruncuso Holdings Chapter Two LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BRUNCUSO HOLDINGS CHAPTER TWO LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 8, 2024
- Last Updated
- Jan 8, 2024
Practice Location
- Address
- 4425 E VILLA CASSANDRA WAY
- City
- Cave Creek
- State
- Arizona
- ZIP Code
- 85331-9564
- Phone
- (206) 755-6699
Authorized Official
- Name
- TRACI MANCUSO
- Title
- OWNER/OPERATOR
- Phone
- (206) 755-6699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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