Individual
CYNTHIA GAIL BRUMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
801 W 8TH ST, COFFEYVILLE, KS 67337-4109
(888) 777-9170
(620) 231-5062
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023013562
MO
363L00000X
Nurse Practitioner
53-81860-041
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
53-81860-041
KS
Other
Enumeration date
03/09/2023
Last updated
03/13/2026
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