Individual
PENNY S BRUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
677 RTE 7A, SHAFTSBURY, VT 05262
(802) 442-8531
Mailing address
PO BOX 379, 677 RTE 7A, SHAFTSBURY, VT 05262
(802) 442-8531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0105935
VT
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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