Individual provider · Type 1 NPI

Theresa Brunner, FNP

Family Nurse Practitioner · Davie, FL

NPI number 1508483702 Active

Practice location

5800 S University Dr
Davie, FL 33328-6102

Mailing address

19153 Crystal St
Weston, FL 33332-2434

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11007123 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1508483702

Theresa Brunner, FNP's National Provider Identifier is 1508483702, issued on Jul 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Davie, FL. The record was last updated on Sep 3, 2021.