Individual
MRS. TERRY L. BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130676
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447412770
RH MEDICAID-NURSE PRACTITIONER
MO
01
—
26-8603
RH MEDICARE-NURSE PRACTIT
MO
01
—
26-8630
RH MEDICARE- NURSE PRACTITIONER
MO
01
—
26D0859759
CLIA
MO
01
—
597943901
RH MEDICAID-NURSE PRACTIT
MO
Enumeration date
05/31/2006
Last updated
07/29/2025
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