Individual
FNU BRUNHILDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3527 MEMORIAL DR UNIT W, DECATUR, GA 30032-2731
(404) 573-4844
Mailing address
2770 CLARY TRCE NE, ROSWELL, GA 30075-5419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN301414
GA
Other
Enumeration date
01/30/2024
Last updated
11/27/2024
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