Doctor Name: | KARI N. BRUENING |
NPI Number: | 1063675445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 041340631 |
Business Practice Address: | 3375 N Seminary St Galesburg, IL - 614011251 |
Business Phone Number: | 3093435114 |
Business Fax Number: | 3093437859 |
Mailing Address: | 3375 N Seminary St, GALESBURG |
State: | IL |
Postal Code: | 614011251 |
Phone Number: | 3093435114 |
Fax Number: | 3093437859 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 11/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 041340631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |