Individual
REBECCA BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5807 HARRODS GLEN DR, PROSPECT, KY 40059-7650
(812) 207-8410
Mailing address
80 CODELL DR STE 150, LEXINGTON, KY 40509-1177
(859) 800-0301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1128632
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016213
KY
Other
Enumeration date
06/07/2021
Last updated
10/09/2025
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