Individual
NATALIE ELISE BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
505 W BELMONT AVE APT 2A, CHICAGO, IL 60657-6846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012214
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730586496
—
WI
Enumeration date
11/24/2014
Last updated
12/17/2020
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