Individual
SANDRA LYNN BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2525 WAYNE MADISON RD, TRENTON, OH 45067-9768
(513) 844-4643
(513) 844-4248
Mailing address
2525 WAYNE MADISON RD, TRENTON, OH 45067-9768
(513) 844-4643
(513) 844-4248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN174304
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP07408
OH
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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