Individual
CYNTHIA BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4353 CLAYTON AVE, SAINT LOUIS, MO 63110-1621
(314) 362-5000
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011008783
MO
Other
Enumeration date
06/08/2011
Last updated
11/03/2020
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