Amanda Wilson Bruns CRNP

NPI 1780083402 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1780083402
Gender Female
Enumeration Date 08/19/2014
Last Updated 08/19/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
232 OFFICE PARK DR
GULF SHORES AL, 36542-3432, US
Phone (251) 968-2323
Fax
Business Location
100 CULLODEN CT
DOTHAN AL, 36305-7204, US
Phone (334) 685-1425
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Alabama
License Number 1-109532
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According to our database, Mrs. Amanda Wilson Bruns CRNP NPI is 1780083402, taxonomy code is 363LP0200X and license number is 1-109532, license state is located at Alabama. Amanda Wilson Bruns CRNP physically located at 232 Office Park Dr, Gulf Shores AL, 36542-3432. NPI Number Amanda Wilson Bruns CRNP has the Individual type.

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1780083402 NPI number is provided on an as is basis without warranty of any kind. 1780083402 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Wilson Bruns CRNP are for informational purposes only.