MARISSA BUNN (NPI# 1891327458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891327458 |
| Entity Type | Individual |
| Full Name | MARISSA BUNN |
| Practice Address |
17000 W North Ave Ste 107w Brookfield WI 53005-4423 |
| Practice Telephone | 4147857740 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9834 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22370 Bluemound Rd, Suite 102, Waukesha, WI 53186 | 4147857770 |
| Street Address |
17000 W NORTH AVE STE 107W |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215955125 | Brookfield Surgical Associates, Sc | Specialist | 17000 W North Ave Ste 107w, Brookfield, WI 53005-4423 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1295373223 | Joan Marie Bennett | Nurse Practitioner | 125 N Executive Dr Ste 100, Brookfield, WI 53005-6070 | 2019-12-20 |
| 1548821747 | Shirley L Arnold | Nurse Practitioner | 624 West Lockling Avenue, Brookfield, MO 64628 | 2019-06-27 |
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1518369024 | Michael Paul Holtz | Nurse Practitioner | 624 W Lockling St, Brookfield, MO 64628-2003 | 2014-09-16 |
| 1235392218 | Bohdan Kontsevyy | Nurse Practitioner | 3631 Forest Ave Unit P, Brookfield, IL 60513-2262 | 2008-07-09 |
| 1487606794 | Leann Walker | Nurse Practitioner | 1350 Sunny Slope Road, Sunnyslope Primary Care Clinic, Brookfield, WI 53005 | 2006-05-16 |
| 1225644909 | Romy A Desai | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-09-18 |
| 1457969156 | Stefanie Renee Malesevich | Nurse Practitioner | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2020-07-19 |
| 1508482563 | Eula Lewis | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-06-24 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on MARISSA BUNN.
| 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.