Female

Yvonne L. Bruner PA-C

Interventional Pain Medicine Physician in St Petersburg, FL(View on Map)

Full Name

Yvonne L Bruner PA-C

NPI Number

1417421066

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/16/2019

Specialties

(Taxonomies)

Code

208VP0014X
207N00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

9111861

Contact
Information

Purpose

Mailing
Location

Address

4307 71ST ST N
4307 71ST ST N

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33709-4513
33709-4513

Country

US
US

Telephone Number

N/A
(312) 953-9787

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2019

Provider Address

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