Gwen Elizabeth Bruno, ADULT NURSE PRACTITI

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F3039461 Issued in NY

Practice address

1900 Ridge Road
West Seneca, NY 14224-3332

Phone

(716) 712-0670

Fax

(716) 712-0674

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1841470101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIDGE ROAD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-712-0670",
            "fax_number": "716-712-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIDGE ROAD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-712-0670",
            "fax_number": "716-712-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "GWEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3039461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irish Lynn Brothers, LMHC
• Geoffrey Brown, PTA
• Megan Brown, PA
• Raelin Brown
• Brandon James Brownell, M.D.
• Kelly Lyn Bruno, LPN
• Maria Dolores Bruno, MD
• Cheyenne Susan Bruyere
• Amanda Brzezinski, LCSW
• Joan K Bub, RPH

• Adult Health Nurse Practitioner in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.