Individual provider · Type 1 NPI

Michele L. Brunner

Family Nurse Practitioner · Brentwood, NY

NPI number 1306451687 Active

Practice location

1725 Brentwood Rd Bldg 3
Brentwood, NY 11717-5543

Call (631) 766-6831 Map

Fax (631) 451-1616

Mailing address

33 Tower Hill Ave
Farmingville, NY 11738-1912

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF346462 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1306451687

Michele L. Brunner's National Provider Identifier is 1306451687, issued on Sep 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brentwood, NY. The record was last updated on Feb 19, 2026.