AMANDA BRULTE APRN NPI 1063817872

NPI Information

NPI: 1063817872
Provider Name: AMANDA BRULTE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
100 DOCTORS DR STE 104
DOUGLAS, GA
ZIP 31533
Phone: (912) 383-4352
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Amanda Brulte, APRN is a family nurse practitioner in Douglas, GA. Amanda Brulte, APRN NPI is 1063817872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 DOCTORS DR STE 104
DOUGLAS, GA
ZIP 31533-211
Phone: (912) 383-4352
Fax: (912) 384-1192

The enumeration date for this NPI number is 10/23/2014 and was last updated on 10/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN197324	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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