Individual provider · Type 1 NPI
Mark Anthony Bruno, RN
Emergency Registered Nurse · Fort Defiance, AZ
NPI number
1104536325
Active
Practice location
Highway 12 & 7
Fort Defiance, AZ 86504
Mailing address
6657 Autumn Breeze St
Las Vegas, NV 89148-5321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 816301 (NV) |
Emergency Registered Nurse: Definition to come...
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About NPI 1104536325
Mark Anthony Bruno, RN's National Provider Identifier is 1104536325, issued on Nov 29, 2022. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Fort Defiance, AZ. The record was last updated on Nov 29, 2022.