Individual
KIM LISA BRUNNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
360 ROUTE 73 S, MARLTON, NJ 08053-2004
(186) 638-9272
Mailing address
201 TAYLORSVILLE RD, YARDLEY, PA 19067-1316
(267) 566-5432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018248
PA
363LF0000X
Family Nurse Practitioner
26NJ00797800
NJ
Other
Enumeration date
01/18/2018
Last updated
02/04/2022
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