Individual
BEVERLY LYNN BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IPC
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
Mailing address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN9212997
FL
Other
Enumeration date
09/07/2022
Last updated
09/13/2022
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