Doctor Name: | DAWN BRUNI |
NPI Number: | 1730389743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | A01012 ANP |
Business Practice Address: | 6200 Batesville Boulivard Pleasant Plains, AR - 725680450 |
Business Phone Number: | 5013452182 |
Business Fax Number: | 5013458804 |
Mailing Address: | Po Box 450, PLEASANT PLAINS |
State: | AR |
Postal Code: | 725680450 |
Phone Number: | 5013452182 |
Fax Number: | 5013458804 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A01012 ANP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |