Individual
AMELIA S BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(619) 599-6637
Mailing address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(619) 599-6637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28150408A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008456A
IN
Other
Enumeration date
04/03/2018
Last updated
04/13/2022
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