Individual
NICOLE MARIE BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
500 SHEPHERD ST STE 200, WINSTON SALEM, NC 27103-1633
(336) 716-6893
(336) 768-3443
Mailing address
500 SHEPHERD ST STE 200, WINSTON SALEM, NC 27103-1633
(336) 716-6893
(336) 768-3443
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
000343IP
NC
367A00000X
Advanced Practice Midwife
Primary
1839
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39909500
—
WI
Enumeration date
08/23/2006
Last updated
04/10/2026
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