Individual
SHIRLEY A BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W8961 LAURIE LN, CASCADE, WI 53011-1137
(920) 528-7588
Mailing address
W8961 LAURIE LN, CASCADE, WI 53011-1137
(920) 528-7588
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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