Individual
ABIGAIL MARIE BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
208 TOWNSHIP BLVD, SUITE 100, CAMILLUS, NY 13031
(315) 551-6000
(315) 434-5300
Mailing address
208 TOWNSHIP BLVD, SUITE 100, CAMILLUS, NY 13031
(315) 551-6000
(315) 434-5300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344425
NY
363LF0000X
Family Nurse Practitioner
344425
NY
Other
Enumeration date
08/08/2019
Last updated
01/29/2020
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