Cathy Brun, RN BSN PHN

Individual provider Active NPI School Registered Nurse · Yucaipa, CA

NPI 1992636807 · NPPES record last updated May 28, 2026

Key facts

NPI
1992636807
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
424751 (CA)
Practice address
35912 Avenue H
Yucaipa, CA 92399-5206
Phone
(909) 790-8550
Fax
(909) 790-8541
NPI assigned
May 28, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
424751CAMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 424751 CA Yes

Addresses

Primary practice location

35912 Avenue H
Yucaipa, CA 92399-5206

Mailing address

35912 Avenue H
Yucaipa, CA 92399-5206
Phone (909) 790-8550

Other providers in Yucaipa, CA

All providers in Yucaipa, CA · School Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.