Individual provider · Type 1 NPI

Nicole Dawn Brunson

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1740061555 Active

Practice location

4001 E Fletcher Ave
Tampa, FL 33613-4808

Call (239) 450-9452 Map

Mailing address

2904 Network Pl Apt 203C
Lutz, FL 33559-3174

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740061555

Nicole Dawn Brunson's National Provider Identifier is 1740061555, issued on Oct 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Oct 9, 2023.