Individual
MS. CARLA G BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(855) 349-2828
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(855) 349-2828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.000523
CT
363AM0700X
Medical Physician Assistant
23.000523
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908197
—
AZ
Enumeration date
01/20/2009
Last updated
01/24/2022
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