MALISICA T BRUNNER

LOUISVILLE, KY
NPI1508536368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3016567)
Enumeration Date2021-09-14
Last Update Date2022-01-19
Business Address
MALISICA T BRUNNER MSN APRN FNP-C
901 S 4TH ST
LOUISVILLE, KY 40203-2188
Phone number: 502-585-9911
Mailing Address
MALISICA T BRUNNER MSN APRN FNP-C
4621 OUTER LOOP # 177
LOUISVILLE, KY 40219-3970
Phone number: 502-475-1885
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