| Kim Lisa Brunnet, APRN | |
|
360 Route 73 S, Marlton, NJ 08053-2004 | |
| (186) 638-9272 | |
| Not Available |
| Full Name | Kim Lisa Brunnet |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 360 Route 73 S, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295243715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00797800 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | SP018248 (Pennsylvania) | Primary |
| Entity Name | Premier Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053544528 PECOS PAC ID: 1951445071 Enrollment ID: O20100324000865 |
| Entity Name | Geriatrics Associates Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073819512 PECOS PAC ID: 4385810183 Enrollment ID: O20111228000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Lisa Brunnet, APRN 201 Taylorsville Rd, Yardley, PA 19067-1316 Ph: (267) 566-5432 | Kim Lisa Brunnet, APRN 360 Route 73 S, Marlton, NJ 08053-2004 Ph: (186) 638-9272 |
Jacquelyn Regina Zagone, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 800-413-8020 | |
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Mrs. Lisa Spurlock Abrams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 E Route 70, Building A, Marlton, NJ 08053 Phone: 856-797-4721 | |
Rafia Nicola Grooms, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 70 E Bldg A100, Marlton, NJ 08053 Phone: 856-797-4721 Fax: 856-797-4785 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 |