Individual
JOHANNA SHALOM BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12410 E SINTO AVE, SUITE 101, SPOKANE VALLEY, WA 99216-2199
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221856
L&I
WA
05
—
9646514
—
WA
Enumeration date
02/14/2006
Last updated
12/12/2008
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