# MS. MARY EILEEN JOHNSTON BRUNO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669639480
- **Gender:** F
- **Credential:** ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC2100X | Continence Care Registered Nurse | 209-003545 | IL | — |
| 163WW0000X | Wound Care Registered Nurse | 209-003545 | IL | — |
| 163WX1500X | Ostomy Care Registered Nurse | 209-003545 | IL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 209010075 | IL | Yes |
| 364S00000X | Clinical Nurse Specialist | 209003545 | IL | — |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 10/22/2013