Individual
GERIANNE BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 230-8026
Mailing address
822 8THST NE, DEVILS LAKE, ND 58301
(701) 230-8026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
ND
172A00000X
Driver
BRU-92-3438
ND
175T00000X
Peer Specialist
Primary
—
ND
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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