Individual
LATOSCA BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGAC-NP
Contact information
Practice address
4810 KEMP BLVD, WICHITA FALLS, TX 76308-5222
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4017745
KY
363LA2100X
Acute Care Nurse Practitioner
309642
AZ
363LA2100X
Acute Care Nurse Practitioner
4017745
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132721
TX
363LA2100X
Acute Care Nurse Practitioner
APRN11031715
FL
Other
Enumeration date
04/14/2017
Last updated
01/21/2026
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