Individual
ANDREA LYNN BRUN
Active
Individual
ANDREA LYNN BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.11569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108989
—
OH
01
—
H190760
CGS MEDICARE
OH
Enumeration date
05/26/2010
Last updated
04/24/2025
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