Brunner, Anna Schack

Brunner, Anna Schack is an individual health care provider with primary practice located at 4318 5Th Ave , Marianna FL 32446-2182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brunner, Anna Schack can be contacted via phone (850) 526-5300.

Contact Information

Primary practice address
4318 5Th Ave Marianna FL 32446-2182
Fax: (850) 526-5001
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3192422 Florida

Profile Details

NPI number 1699916098
LBN Legal business name Brunner, Anna Schack
Credentials MSN, ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2009
Last updated Nov 27th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699916098 NPPES
Florida MEDICAID 002408400
Florida Other Y05KU

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