Individual
JOAN BRUNDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
213 S GREEN ST, LANCASTER, MO 63548-1097
(660) 457-3721
(660) 457-2238
Mailing address
213 S GREEN ST, LANCASTER, MO 63548-1097
(660) 457-3721
(660) 457-2238
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2010042365
MO
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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