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NPI Code Detail

MEDICARE: MYRANDA LEIGH BRUNN

MEDICARE: MYRANDA LEIGH BRUNN
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 NurseRN541559OH

General Provider Information

NPI Number : 1508709668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRANDA LEIGH BRUNN
Provider Business Mailing Address
First Line : 4330 REDDING RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-3555
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3518 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1951
Country : US
Telephone Number : 216-741-2241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ MYRANDA LEIGH BRUNN ” Practice Location

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