Individual provider · Type 1 NPI

Shelly Brunner, NP-C

Adult Health Nurse Practitioner · Santa Cruz, CA

NPI number 1134523715 Active

Practice location

1661 Soquel Dr, Building C
Santa Cruz, CA 95065-1709

Mailing address

820 N Delaware St, 206
San Mateo, CA 94401-1576

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X13135 (CA)
Women's Health Nurse Practitioner 363LW0102X13135 (CA)
Advanced Practice Midwife 367A00000X1630 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1134523715

Shelly Brunner, NP-C's National Provider Identifier is 1134523715, issued on Oct 10, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Cruz, CA. The record was last updated on Oct 10, 2014.