Provider Demographics
NPI:1831811835
Name:BRUN, TAMARA (RN)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:BRUN
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 1:211507 E PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-8718
Mailing Address - Country:US
Mailing Address - Phone:509-528-6880
Mailing Address - Fax:509-222-6701
Practice Address - Street 1:3500 S VANCOUVER ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-3749
Practice Address - Country:US
Practice Address - Phone:509-222-6800
Practice Address - Fax:509-222-6801
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600022275163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool