Brunner, Amanda Dianne

Brunner, Amanda Dianne is an individual health care provider with primary practice located at 355 S Madison Blvd # C1 , Roxboro NC 27573-5485. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Brunner, Amanda Dianne can be contacted via phone (919) 704-5376.

Contact Information

Primary practice address
355 S Madison Blvd # C1 Roxboro NC 27573-5485
Phone: (919) 704-5376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 21324919 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5018262 North Carolina

Profile Details

NPI number 1952022543
LBN Legal business name Brunner, Amanda Dianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Jul 27th, 2023 - about 2 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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