Brunner, Samantha B

Brunner, Samantha B is an individual health care provider with primary practice located at 411 Fortuyn Rd , Grand Coulee WA 99133-8718. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brunner, Samantha B can be contacted via phone (509) 633-1911.

Contact Information

Primary practice address
411 Fortuyn Rd Grand Coulee WA 99133-8718
Phone: (509) 633-1911
Fax: (509) 633-3644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60233756 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60233756 Washington

Profile Details

NPI number 1639451750
LBN Legal business name Brunner, Samantha B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Oct 1st, 2020 - about 5 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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