Individual
BARBARA LYNN BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SHREVEPORT, LA 71103-4228
(318) 657-8600
(318) 675-8638
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP01215
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459186
—
LA
Enumeration date
07/20/2006
Last updated
03/22/2024
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