MEDICARE: CHRISTINE MAY BRUNET

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
1	363L00000X	Nurse Practitioner	873340	NV
2	363LF0000X	Family Nurse Practitioner	873340	NV

General Provider Information

NPI Number	:	1386490118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MAY BRUNET

Provider Business Mailing Address
First Line	:	3950 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3847
Country	:	US
Telephone Number	:	702-208-4908
Fax Number	:	702-441-7161

Provider Business Practice Location Address
First Line	:	3950 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3847
Country	:	US
Telephone Number	:	702-208-4908
Fax Number	:	702-441-7161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2024
Last Update Date	:	05/01/2026

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Directions to “ CHRISTINE MAY BRUNET ” Practice Location

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