Individual
KIMBERLY ANNETTE BRUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
5308 HARROUN RD, SUITE 055, SYLVANIA, OH 43560-2114
(419) 824-6599
(419) 885-3870
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 824-1952
(419) 824-0344
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
APRN.09796
OH
363L00000X
Nurse Practitioner
4704263022
MI
363L00000X
Nurse Practitioner
RN 09796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831912
—
OH
01
—
BRNP26021
MEDICARE PTAN
OH
01
—
H388051
MEDICARE PTAN
OH
01
—
N64970005
MEDICARE PTAN
MI
01
—
POO904169
RRMC
OH
Enumeration date
01/22/2008
Last updated
11/03/2023
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