Individual
KATHERINE BRUNCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3333 BURNET AVE, ML 2023, CINCINNATI, OH 45229
(513) 636-4371
(513) 636-7657
Mailing address
3333 BURNET AVE, ML 2023, CINCINNATI, OH 45229-3026
(513) 636-4371
(513) 636-7657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019375
OH
390200000X
Student in an Organized Health Care Education/Training Program
RN.352141
OH
Other
Enumeration date
10/20/2015
Last updated
07/31/2019
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