Individual
MS. GENEVIEVE BRUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 867-4000
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 867-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906531
MS
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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