Individual
LAURIE BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1802 W 4TH ST, WILMINGTON, DE 19805
(302) 652-2455
(302) 322-6251
Mailing address
2 PENNS WAY, SUITE 412, NEW CASTLE, DE 19720
(302) 652-2455
(302) 322-6251
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
LJ-0000153
DE
Other
Enumeration date
10/23/2006
Last updated
04/06/2016
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