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Individual
KRISTEN MARIE BRUNETTIN
Active
Individual
KRISTEN MARIE BRUNETTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN147800
LA
363LF0000X
Family Nurse Practitioner
229177
LA
363LF0000X
Family Nurse Practitioner
Primary
36268
TN
Other
Enumeration date
08/15/2022
Last updated
07/23/2024
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