Individual
ANDREA LYNN BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4565
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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