Individual
KELLY ANN BRUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN
Contact information
Practice address
916 PACIFIC AVE, 7TH FLOOR, EVERETT, WA 98201-4147
(425) 303-6545
(425) 303-6550
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
(425) 317-0279
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN00105350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00105350
STATE LICENSE
WA
Enumeration date
04/23/2010
Last updated
04/23/2010
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