Individual
ASHLEY E BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3401
Mailing address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
819254
TX
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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