Individual
MRS. LANA CLIETT BRUNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP, PMHNP
Contact information
Practice address
3501 N 19TH ST, WACO, TX 76708-2097
(254) 745-5117
(254) 296-5935
Mailing address
471 FM 3370, AQUILLA, TX 76622
(254) 695-7896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
658403
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
658403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05546
PRESCRIPTION ID NUMBER
TX
Enumeration date
05/01/2007
Last updated
05/02/2024
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