Individual
MRS. ANNA SCHACK BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP-C
Contact information
Practice address
4318 5TH AVE, MARIANNA, FL 32446-2182
(850) 526-5300
(850) 526-5001
Mailing address
4318 5TH AVE, MARIANNA, FL 32446-2182
(850) 526-5300
(850) 526-5001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3192422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002408400
—
FL
01
—
Y05KU
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/13/2009
Last updated
11/27/2012
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