Individual
MS. MARIANNE ELIZABETH BRULHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
58 TINSEL CT, WANTAGH, NY 11793-1936
(631) 383-3689
(412) 753-7938
Mailing address
58 TINSEL CT, WANTAGH, NY 11793-1936
(631) 383-3689
(412) 753-7938
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401665
NY
Other
Enumeration date
02/19/2014
Last updated
10/24/2021
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