Provider Demographics
NPI:1275848434
Name:BRUNO, ANNA MARIA (FNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:BRUNO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 N CAUSEWAY BLVD STE 2200
Mailing Address - Street 2:THREE LAKEWAY CENTER
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-8306
Mailing Address - Country:US
Mailing Address - Phone:504-849-1354
Mailing Address - Fax:
Practice Address - Street 1:3838 N CAUSEWAY BLVD STE 2200
Practice Address - Street 2:THREE LAKEWAY CENTER
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-8306
Practice Address - Country:US
Practice Address - Phone:504-849-1354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06233363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner