Individual
DONNA BRUNNQUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Mailing address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
00011462
NJ
363L00000X
Nurse Practitioner
Primary
NN07060700
NJ
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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