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Individual
MS. KEESHA NICOLA BRUNO
Active
Individual
MS. KEESHA NICOLA BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
334881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02975060
—
NY
01
—
056XL23571
MEDICARE
NY
01
—
510958
RN LICENSE
NY
01
—
F334881
FNP LICENSE
NY
01
—
RN568989
RN LICENSE
PA
01
—
SP009174
FNP LICENSE
PA
Enumeration date
03/02/2007
Last updated
12/07/2010
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