| Doctor Name: | DARLENE RUTH BRUNNER |
| NPI Number: | 1093709800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WOMEN'S HEALTH NP |
| License Number: | |
| Business Practice Address: | 310 W Losey St Scott Afb, IL - 622255250 |
| Business Phone Number: | 6182567600 |
| Business Fax Number: | 6182567619 |
| Mailing Address: | 310 W Losey St, SCOTT AFB |
| State: | IL |
| Postal Code: | 622255250 |
| Phone Number: | 6182567600 |
| Fax Number: | 6182567619 |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |