Individual
KRYSTLE BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E. MARSHALL STREET, INTERNAL MEDICINE, RICHMOND, VA 23298-0509
(804) 628-3626
(804) 828-5566
Mailing address
P.O.BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171425
VA
Other
Enumeration date
06/11/2014
Last updated
06/13/2014
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