Individual
DARLENE RUTH BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WOMEN'S HEALTH NP
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7600
(618) 256-7619
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7600
(618) 256-7619
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
041-233266
IL
Other
Enumeration date
09/07/2005
Last updated
01/26/2023
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