BRANDON FRANCIS TUNSTALL (NPI# 1639649981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639649981 |
| Entity Type | Individual |
| Full Name | BRANDON FRANCIS TUNSTALL |
| Credential | AGPCNP |
| Practice Address |
1050 Mantua Pike Wenonah NJ 08090-1141 |
| Practice Telephone | 8562107679 |
| Practice Fax Number | 8562107526 |
| Mailing Telephone | 8562107679 |
| Mailing Fax Number | 8562107526 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00861800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | TAX ID | 83-2672304 | 01 |
| Street Address |
1050 MANTUA PIKE |
| City | WENONAH |
| State | NJ |
| Zip Code | 08090-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205912144 | Benjamin George Piantedosi | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2006-10-31 |
| 1235670811 | Woodbury Dental Associates Pa | Dentist | 1050 Mantua Pike, Wenonah, NJ 08090-1141 | 2017-03-15 |
| 1467707448 | Robin Keisha Lynch-varela | Nurse Practitioner | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2012-07-17 |
| 1336432244 | Advocare, LLC | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2011-05-25 |
| 1265697429 | Dana Lynn Biermann Flynn | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2008-07-26 |
| 1073700639 | Eliza White | Nurse Practitioner | 1050 Mantua Pike, 601 Office Plaza - 2nd Floor, Wenonah, NJ 08090-1141 | 2007-09-27 |
| 1073706222 | Brenda L Allgood | Nurse Practitioner | 1050 Mantua Pike, 601 Office Plaza, 2nd Floor, Wenonah, NJ 08090-1141 | 2007-08-21 |
| 1821202250 | Victoria Hastings-schmidt | Physician Assistant | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2007-05-08 |
| 1407995558 | Alycia Leigh Bischof | Nurse Practitioner | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2007-02-05 |
| 1861560336 | Tamika Lillian Jones | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841782455 | Melissa Margarita Collins | Nurse Practitioner | 1050 Mantua Pike Fl 1, Wenonah, NJ 08090 | 2018-05-31 |
| 1821473596 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 N. Clinton Avenue, Wenonah, NJ 08090 | 2015-07-23 |
| 1962650457 | West Deptford Animal Hospital | Veterinarian | 1044 Mantua Pike, Rt 45, Wenonah, NJ 08090-1124 | 2008-09-09 |
| 1285726901 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1098 Mantua Pike, Wenonah, NJ 08090-1124 | 2006-09-29 |
| 1306496013 | April Digiannantonio | Social Worker | 607 Vassar Rd, Wenonah, NJ 08090-1136 | 2019-09-14 |
| 1669734687 | Shannon Nicole Cornell | Counselor | 483 Fordham Rd, Wenonah, NJ 08090-1227 | 2012-06-14 |
| 1316560857 | Stephanie M Poe-cerdan | Psychologist | 622 Franklin Rd, Wenonah, NJ 08090-1230 | 2020-05-19 |
| 1013530559 | Devani Home Care Solutions LLC | Day Training, Developmentally Disabled Services | 622 Franklin Rd, Wenonah, NJ 08090-1230 | 2020-05-19 |
| 1538539754 | Genesis Rehab Services | Skilled Nursing Facility | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2015-09-30 |
| 1720538770 | Jaclyn Cory Brown | Occupational Therapist | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2016-10-13 |
| Find all providers in zip 08090 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098677 | Lauren Olmstead | Nurse Practitioner | 317 George St Ste 440, New Brunswick, NJ 08901-2008 | 2020-09-17 |
| 1275151961 | Natacha Jharahy | Nurse Practitioner | 2194 Stecher Ave, Union, NJ 07083-5252 | 2020-07-08 |
| 1477178424 | Dorota Mironiuk | Nurse Practitioner | 17 Reagan Way, Kinnelon, NJ 07405-2738 | 2020-06-15 |
| 1770111320 | Adrian A Sanchez | Nurse Practitioner | 28 Springbrook Rd E, Montville, NJ 07045-9162 | 2020-03-30 |
| 1356977409 | Gayle M Pistilli | Nurse Practitioner | 271 Cindy St, Old Bridge, NJ 08857-3060 | 2020-03-20 |
| 1578193876 | Melonie D Smith | Nurse Practitioner | 39 E 39th St Apt 4p, Paterson, NJ 07514-1163 | 2020-01-25 |
| 1710529151 | Anna M Comayagua | Nurse Practitioner | 82 Crab Apple Hill Rd, Milford, NJ 08848-1803 | 2019-10-16 |
| 1740830157 | Trisha Boland | Nurse Practitioner | 133 Center St Unit B2, New Milford, NJ 07646-2653 | 2019-09-17 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1528532397 | Jill Marie Generelli | Nurse Practitioner | 972 Hwy 36, Hazlet, NJ 07730-1700 | 2019-01-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRANDON FRANCIS TUNSTALL.
| 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.