Provider Demographics
NPI:1881486348
Name:BRUNSELL, RACHEL JOAN (FNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JOAN
Last Name:BRUNSELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 BROME AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0573
Mailing Address - Country:US
Mailing Address - Phone:701-226-5485
Mailing Address - Fax:
Practice Address - Street 1:807 E MAIN AVE STE A
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4527
Practice Address - Country:US
Practice Address - Phone:701-530-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program