Individual
DR. JONATHAN BRUNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4600 38TH ST, COLUMBUS, NE 68601-1664
(402) 564-7118
Mailing address
3625 SMITH ST, LINCOLN, NE 68506-6646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68447
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101408
NE
Other
Enumeration date
03/06/2017
Last updated
05/11/2017
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