NPI 1164074175

Courtney Marie Brummel, MSNFNPC

Practitioner Family Nurse Practitioner Bolivar, MO

Practice location

Address: 1120 S Springfield Ave, Bolivar, MO 65613-2512
Phone: (417) 326-7814
Mailing address: 1120 E Forest Ridge Dr, Bolivar, MO 65613-1075

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2019025783 (MO)

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Registry record

NPI: 1164074175
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2019
Record last updated: 10 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.