Doctor Name: | BROOKE H KUNSMAN |
NPI Number: | 1043366875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009311 |
Business Practice Address: | 1906 Hay Ter Easton, PA - 180424615 |
Business Phone Number: | 6102522045 |
Business Fax Number: | |
Mailing Address: | 1906 Hay Ter, EASTON |
State: | PA |
Postal Code: | 180424615 |
Phone Number: | 6102522045 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP009311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |