Individual
AMANDA BRUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
152 WITTENBRAKER AVE, NEW CASTLE, IN 47362-5000
(765) 599-3100
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28205440A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007524A
IN
Other
Enumeration date
01/25/2017
Last updated
10/16/2024
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