| Mrs Terry L Bruno, FNP | |
|
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
| (573) 596-0417 | |
| Not Available |
| Full Name | Mrs Terry L Bruno |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013954049 | NPI | - | NPPES |
| 26D0859759 | Other | MO | CLIA |
| 597943901 | Other | MO | RH MEDICAID-NURSE PRACTIT |
| 26-8630 | Other | MO | RH MEDICARE- NURSE PRACTITIONER |
| 26-8603 | Other | MO | RH MEDICARE-NURSE PRACTIT |
| 1447412770 | Other | MO | RH MEDICAID-NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 130676 (Missouri) | Primary |
| Entity Name | Salem Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114177557 PECOS PAC ID: 7012801129 Enrollment ID: O20040210000857 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396785135 PECOS PAC ID: 9436041696 Enrollment ID: O20060323000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Terry L Bruno, FNP 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 | Mrs Terry L Bruno, FNP 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 |
Dr. David F Boyd Iii, FNP STUDENT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, General Leonard Wood Community Hospital, Fort Leonard Wood, MO 65473 Phone: 573-596-0462 | |
Christy Huff, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 | |
Mrs. Christina Anne Lamb, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, General Leonard Wood Army Hospital, Fort Leonard Wood, MO 65473 Phone: 573-596-0131 | |
Geraldine Mae Beswilen Waters, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Sierra Louise Freas, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 735-960-4175 | |
Steven Ray Morse, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-329-8305 Fax: 573-329-8302 |