Provider Demographics
NPI:1326483389
Name:THOMAS, BRUNE (RN)
Entity Type:Individual
Prefix:MS
First Name:BRUNE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 OCEAN AVE
Mailing Address - Street 2:APT 4W
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6276
Mailing Address - Country:US
Mailing Address - Phone:347-526-5228
Mailing Address - Fax:
Practice Address - Street 1:1818 OCEAN AVE
Practice Address - Street 2:APT 4W
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6276
Practice Address - Country:US
Practice Address - Phone:347-526-5228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-05
Last Update Date:2013-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY634377163WC1500X
CT098336163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health