Joan Brundage, RN
Individual provider Active NPI Community Health Registered Nurse · Lancaster, MO
NPI 1740690288 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1740690288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 2010042365 (MO)
- Practice address
- 213 S Green St
Lancaster, MO 63548-1097 - Phone
- (660) 457-3721
- Fax
- (660) 457-2238
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010042365 | MO | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Health Center | Past | Accepting new patients | |
| Schuyler County Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 2010042365 | MO | Yes |
Addresses
Primary practice location
213 S Green St
Lancaster, MO 63548-1097
Mailing address
213 S Green St
Lancaster, MO 63548-1097
Phone (660) 457-3721
Other providers in Lancaster, MO
- Aurora C. Bell
- Edward M Norman DDS PC
- Hannibal Regional Healthcare System, Inc
- Lancaster Drugs LLC
- Lancaster Drugs LLC
- Margaleen Lindquist
All providers in Lancaster, MO · Community Health Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.