Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooklyn Gunderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477193035

Brooklyn Gunderson is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Peoria, IL

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.005574 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477193035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2020
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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