LATOSCA BRUNNER


Address: 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202
Phone: 2149605681

LATOSCA BRUNNER (NPI# 1710411822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710411822
Entity Type Individual
Full Name LATOSCA BRUNNER
Credential AGAC-NP
Practice Address 221 W Beckley Blvd
Pavilion 2 Suite 929
Dallas
TX 75202
Practice Telephone 2149605681
Practice Fax Number 2179472727
Mailing Telephone 2149605681
Mailing Fax Number 2179472727
Enumeration Date 2017-04-14
Last Update Date 2017-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP132721 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 221 W BECKLEY BLVD
PAVILION 2 SUITE 929
City DALLAS
State TX
Zip Code 75202

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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