NICOLE BRUNAUGH, NP
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1750958351
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | No | 209022501 (IL) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 209022501 (IL) |
Frequently Asked Questions
NPI 1750958351 is the National Provider Identifier for NICOLE BRUNAUGH, NP, a Nurse Practitioner - Gerontology provider located in Alton, IL. This NPI was enumerated on June 10, 2021.
NICOLE BRUNAUGH, NP practices at #2 MEMORIAL DR., SUITE 103, Alton, IL 62002.
Quick Facts
- NPI
- 1750958351
- Type
- Individual
- Enumerated
- Jun 10, 2021
- Last Updated
- Oct 14, 2025
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