Individual
MCKENZIE DAWN BRUGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
209 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2100
(304) 574-2151
Mailing address
209 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2100
(304) 574-2151
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WV
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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