Individual
MR. RAYMOND E. BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
603 S BISHOP AVE, ROLLA, MO 65401-4320
(573) 426-4411
(573) 426-4403
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
130675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023182888
—
MO
01
—
26D0889777
CLIA
MO
Enumeration date
11/20/2006
Last updated
01/21/2026
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