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Roberta Bruner, RN

Registered Nurse in Tyler, TX. Individual provider (NPI-1).

NPI number1982162145
StatusActive
Last updated in NPPESMar 6, 2019

Details

NPI
1982162145
Entity type
Individual (NPI-1)
Name
Roberta Bruner
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2019
Last updated
Mar 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse661393TXYes

Practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone 903-525-8001 · Fax 903-525-3858

Mailing address

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone 903-525-8001 · Fax 903-525-3858

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