| Doctor Name: | MRS. ANNA SULLIVAN BRUTON |
| NPI Number: | 1023354024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-C |
| License Number: | 5005989 |
| Business Practice Address: | 2076 Nc Highway 42 W Suite 330 Clayton, NC - 275205302 |
| Business Phone Number: | 9195858860 |
| Business Fax Number: | 9195858869 |
| Mailing Address: | 1209 Dixie Drive, SELMA |
| State: | NC |
| Postal Code: | 27576 |
| Phone Number: | 9198158670 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2012 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5005989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |