Individual
IJZAN BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1510 COVINGTON AVE, PIQUA, OH 45356-2801
(937) 381-8244
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.024490
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.024490
CERTIFIED NURSE PRACTITIONER LICENSE
OH
Enumeration date
04/16/2019
Last updated
05/21/2020
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