Individual provider · Type 1 NPI
Kimberly Bruenn
Family Nurse Practitioner · Greenwich, CT
NPI number
1104750561
Active
Practice location
43 Greenwich Ave
Greenwich, CT 06830-5510
Mailing address
26 Gail Ct
Carmel, NY 10512-3826
Other practice locations
- 1018 High Ridge Rd, Stamford, CT 06905-1605 · (203) 973-7829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 17617 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104750561
Kimberly Bruenn's National Provider Identifier is 1104750561, issued on Jun 10, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenwich, CT. The record was last updated on Jun 10, 2026.