Provider Demographics
NPI:1912385428
Name:BRUNING, KARA ANN (NP)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:ANN
Last Name:BRUNING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:ANN
Other - Last Name:YARGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2251 COUNTRY CLUB DR STE 131
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4765
Mailing Address - Country:US
Mailing Address - Phone:682-518-1100
Mailing Address - Fax:682-518-1104
Practice Address - Street 1:2251 COUNTRY CLUB DR STE 131
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4765
Practice Address - Country:US
Practice Address - Phone:682-518-1100
Practice Address - Fax:682-518-1104
Is Sole Proprietor?:No
Enumeration Date:2015-05-16
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19783363L00000X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX264071857Other6B9913