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NPI Code Detail

MEDICARE: MRS. CORINNA RENEE BRUNER RN

MEDICARE: MRS. CORINNA RENEE BRUNER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse28185065AIN

General Provider Information

NPI Number : 1376401703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORINNA RENEE BRUNER RN
Provider Business Mailing Address
First Line : 820 OAK HARBOR BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-8825
Country : US
Telephone Number : 985-707-2790
Fax Number : 985-261-2825
Provider Business Practice Location Address
First Line : 820 OAK HARBOR BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-8825
Country : US
Telephone Number : 985-707-2790
Fax Number : 985-261-2825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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