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NPI Code Detail

MEDICARE: MARYANNE BRUNO PNNP, CNM

MEDICARE: MARYANNE BRUNO PNNP, CNM
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
1176B00000XMidwifeAPN.0991570CO
2363L00000XNurse PractitionerAPN.0001561-NPCO
3363LP1700XPerinatal Nurse PractitionerAPN.0001561-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568574754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANNE BRUNO PNNP, CNM
Provider Business Mailing Address
First Line : 2055 HIGH STREET
Second Line : SUITE 230
City : DENVER
State : CO
Zip : 80205-5507
Country : US
Telephone Number : 303-860-9990
Fax Number :
Provider Business Practice Location Address
First Line : 1719 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1235
Country : US
Telephone Number : 303-860-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/22/2017

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