Healthcare Provider Details

I. General information

NPI: 1982524500
Provider Name (Legal Business Name): HEATHER NICOLE BRUNING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S CLARK ST STE 275
CARROLL IA
51401-3086
US

IV. Provider business mailing address

802 N EAST ST
CARROLL IA
51401-2545
US

V. Phone/Fax

Practice location:
  • Phone: 515-380-4960
  • Fax:
Mailing address:
  • Phone: 515-380-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: