Doctor Name: | BARBARA LYNN BRUNER |
NPI Number: | 1013937994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN053623 |
Business Practice Address: | 1501 Kings Hwy Department Of Pediatrics Shreveport, LA - 711034228 |
Business Phone Number: | 3186578600 |
Business Fax Number: | 3186758638 |
Mailing Address: | 1501 Kings Hwy, Department Of Pediatrics SHREVEPORT |
State: | LA |
Postal Code: | 711034228 |
Phone Number: | 3186578600 |
Fax Number: | 3186758638 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | RN053623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |