Individual
PATRICIA J BRUNETT-WOLPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1222 S PATTERSON BLVD, SUITE 120, DAYTON, OH 45402-2684
(937) 208-8885
(937) 208-8895
Mailing address
1222 S PATTERSON BLVD, SUITE 120, DAYTON, OH 45402-2684
(937) 208-8885
(937) 208-8895
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10677-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2962012
—
OH
Enumeration date
05/20/2009
Last updated
11/15/2013
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