Individual
REBECCA ELIZABETH BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13123 E 16TH AVE, EAST BUILDING, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 876, DENVER, CO 80201-0876
(720) 848-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP2937
AZ
363LP0200X
Pediatric Nurse Practitioner
NP-990284
CO
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
RN150982/AP2937
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300171
—
AZ
Enumeration date
01/08/2008
Last updated
12/21/2011
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