Cody Cameron Brunet, DNP Valid NPI
Individual provider · Nurse Practitioner · Portage, WI
- NPI
- 1427678176
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 9926-33 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-04-23
- Last updated
- 2022-04-01
Practice location
2817 New Pinery Rd
Portage, WI 53901-9240
(608) 742-4131