NPI 1780083402 · live from the CMS NPI Registry
Amanda Wilson Bruns, CRNP
Nurse Practitioner, Pediatrics in Gulf Shores, AL. National Provider Identifier 1780083402, active.
NPI record
| NPI | 1780083402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 232 Office Park Dr, Gulf Shores, AL 36542 |
| Practice phone | 251-968-2323 |
| Mailing address | 100 Culloden Ct, Dothan, AL 36305 |
| Enumerated | August 19, 2014 |
| Last updated | August 19, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-109532 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.