Individual
RYNE B BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 588-0800
(502) 588-0801
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3008991
KY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
3008991
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201270890
—
IN
05
—
7100325560
—
KY
Enumeration date
10/13/2014
Last updated
04/04/2023
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