Brunner, Nicole Marie
Brunner, Nicole Marie is an individual health care provider with primary practice located at 500 Shepherd St Ste 200 , Winston Salem NC 27103-1633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brunner, Nicole Marie can be contacted via phone (336) 716-6893.Contact Information
Primary practice address
500 Shepherd St Ste 200
Winston Salem NC 27103-1633
Phone: (336) 716-6893
Fax: (336) 768-3443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000343IP | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1839 | Wisconsin |
Profile Details
| NPI number | 1346356953 |
|---|---|
| LBN Legal business name | Brunner, Nicole Marie |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Apr 10th, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346356953 | NPPES |
| Wisconsin | MEDICAID | 39909500 |
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