Brundrett, Sue R

Brundrett, Sue R is an individual health care provider with primary practice located at 3144 Executive Dr , San Angelo TX 76904-6802. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brundrett, Sue R can be contacted via phone (325) 617-4594.

Contact Information

Primary practice address
3144 Executive Dr San Angelo TX 76904-6802
Phone: (325) 617-4594
Fax: (325) 617-4593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 620325 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP120270 Texas

Profile Details

NPI number 1659663805
LBN Legal business name Brundrett, Sue R
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2011
Last updated Feb 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659663805 NPPES
Texas Other FO311218 CERTIFICATION

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