Active NPIIndividual provider

Kimberly Bruenn

Nurse Practitioner, Family in Greenwich, Connecticut

NPI Number1104750561
Practice location
43 Greenwich Ave, Greenwich, CT 06830-5510
Fax
—
Last updated
June 10, 2026

Kimberly Bruenn is a Nurse Practitioner, Family based in Greenwich, CT. Kimberly Bruenn practices in Greenwich, CT. The NPI Number for Kimberly Bruenn is 1104750561 and holds a License No. 17617 (CT). The current practice location address for Kimberly Bruenn is 43 Greenwich Ave, Greenwich, CT 06830-5510 and can be reached out via phone at 203-489-3118.

Provider Profile Details

NPI Number
1104750561
Provider Name
Kimberly Bruenn
Provider Entity Type
Individual
Gender
Female
Address
43 Greenwich Ave, Greenwich, CT 06830-5510
Phone Number
203-489-3118
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2026
Last Update Date
June 10, 2026
Certification Date
May 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Greenwich Ave
Greenwich, CT 06830-5510
Zip
06830-5510
Phone Number
203-489-3118
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
26 Gail CT
Carmel, NY 10512-3826
City
Carmel
State
NY
Zip
10512-3826

License Information

License Number
17617
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Bruenn?

The NPI number of Kimberly Bruenn is 1104750561. It was assigned on June 10, 2026 and is currently active in the NPPES registry.

What is the specialty of Kimberly Bruenn?

Kimberly Bruenn is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 17617.

Where does Kimberly Bruenn practice?

The practice location is 43 Greenwich Ave, Greenwich, CT 06830-5510. The office can be reached at 203-489-3118 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104750561 directly on the NPPES registry website.

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