Brunaugh, Nicole Renee
Brunaugh, Nicole Renee is an sole proprietor health care provider with primary practice located at #2 Memorial Dr. Suite 103, Alton IL 62002-6723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brunaugh, Nicole Renee can be contacted via phone (618) 463-7246.Contact Information
Primary practice address
#2 Memorial Dr. Suite 103
Alton IL 62002-6723
Phone: (618) 463-7246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209022501 | Illinois |
Profile Details
| NPI number | 1750958351 |
|---|---|
| LBN Legal business name | Brunaugh, Nicole Renee |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2021 |
| Last updated | Jun 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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