Individual provider · Type 1 NPI

Mary Eileen Johnston Bruno, ANP-BC

Adult Health Nurse Practitioner · Frankfort, IL

NPI number 1669639480 Active

Practice location

20646 Abbey Woods Ct. N., Suite 201
Frankfort, IL 60423-3162

Fax (866) 216-5707

Specialties and licenses

TaxonomyCodeLicense
Continence Care Registered Nurse 163WC2100X209-003545 (IL)
Wound Care Registered Nurse 163WW0000X209-003545 (IL)
Ostomy Care Registered Nurse 163WX1500X209-003545 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209010075 (IL)
Clinical Nurse Specialist 364S00000X209003545 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1669639480

Mary Eileen Johnston Bruno, ANP-BC's National Provider Identifier is 1669639480, issued on May 20, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Frankfort, IL. The record was last updated on Oct 22, 2013.