Provider Demographics
NPI:1912041542
Name:BRUNNEMER, NANCY E (RN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:E
Last Name:BRUNNEMER
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 1:280 EXEMPLA CIR
Mailing Address - Street 2:KAISER PERMANENTE, DEPT. OF NEUROLOGY
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3370
Mailing Address - Country:US
Mailing Address - Phone:720-536-7718
Mailing Address - Fax:720-536-7721
Practice Address - Street 1:280 EXEMPLA CIR
Practice Address - Street 2:KAISER PERMANENTE, DEPT. OF NEUROLOGY
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3370
Practice Address - Country:US
Practice Address - Phone:720-536-7718
Practice Address - Fax:720-536-7721
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO684982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
006413OtherKAISER-COMMERCIAL NUMBER