Individual
MRS. AMANDA WILSON BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
232 OFFICE PARK DR, GULF SHORES, AL 36542-3432
(251) 968-2323
Mailing address
100 CULLODEN CT, DOTHAN, AL 36305-7204
(334) 685-1425
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-109532
AL
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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