Individual provider · Type 1 NPI

Audrey Bruno Tuttle, PAC

Medical Physician Assistant · Winston Salem, NC

NPI number 1871578856 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2255 Map

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300X100818 (NC)
Medical Physician Assistant Primary 363AM0700X100818 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1871578856

Audrey Bruno Tuttle, PAC's National Provider Identifier is 1871578856, issued on Dec 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 10, 2007.