AMANDA DIANNE BRUNNER NPI 1952022543

NPI Information

  • NPI: 1952022543
  • Provider Name: AMANDA DIANNE BRUNNER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4360 SHORE DR STE 101
    VIRGINIA BEACH, VA
    ZIP 23455
  • Phone: (757) 251-0879

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NPI Details

Amanda Dianne Brunner is a psychiatric/mental health nurse practitioner in Virginia Beach, VA. Amanda Dianne Brunner NPI is 1952022543. 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:

4360 SHORE DR STE 101
VIRGINIA BEACH, VA
ZIP 23455-994
Phone: (757) 251-0879
Fax: (984) 220-9437

The NPI 1952022543 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2022 and was last updated on 7/22/2025.

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
1163WP0808XRegistered NursePsychiatric/Mental Health21324919NORTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health5018262NORTH CAROLINAYes

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: 11/21/2025

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