Courtney Marie Brummel, MSN, FNP-C
Nurse Practitioner, Family in Bolivar, MO. Individual provider (NPI-1).
NPI number1164074175
StatusActive
Last updated in NPPESJul 10, 2019
Details
- NPI
- 1164074175
- Entity type
- Individual (NPI-1)
- Name
- Courtney Marie Brummel
- Credential
- MSN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2019
- Last updated
- Jul 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2019025783 | MO | Yes |
Practice location
1120 S Springfield AveBolivar, MO 65613-2512
Phone 417-326-7814
Mailing address
1120 E Forest Ridge DrBolivar, MO 65613-1075
Phone 417-298-6847
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