Individual
MS. MARY EILEEN JOHNSTON BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
20646 ABBEY WOODS CT. N., SUITE 201, FRANKFORT, IL 60423-3162
(866) 216-5708
(866) 216-5707
Mailing address
20646 ABBEY WOODS CT. N., SUITE 201, FRANKFORT, IL 60423-3162
(866) 216-5708
(866) 216-5707
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
209-003545
IL
163WW0000X
Wound Care Registered Nurse
209-003545
IL
163WX1500X
Ostomy Care Registered Nurse
209-003545
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209010075
IL
364S00000X
Clinical Nurse Specialist
209003545
IL
Other
Enumeration date
05/20/2008
Last updated
10/22/2013
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