Active NPIIndividual provider

Mallory B Bruneau

Nurse Practitioner, Acute Care in Tilton, New Hampshire

NPI Number1578339164
Practice location
139 Winter St, Tilton, NH 03276-5415
Fax
—
Last updated
December 13, 2024

Mallory Belanger Bruneau is a Nurse Practitioner, Acute Care based in Tilton, NH. Mallory Belanger Bruneau practices in Tilton, NH. The NPI Number for Mallory Belanger Bruneau is 1578339164 and holds a License No. 075906-23 (NH). The current practice location address for Mallory Belanger Bruneau is 139 Winter St, Tilton, NH 03276-5415 and can be reached out via phone at 603-527-4400.

Provider Profile Details

NPI Number
1578339164
Provider Name
Mallory Belanger Bruneau
Provider Entity Type
Individual
Gender
Female
Address
139 Winter St, Tilton, NH 03276-5415
Phone Number
603-527-4400
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2023
Last Update Date
December 13, 2024
Certification Date
December 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
139 Winter St
Tilton, NH 03276-5415
City
Tilton
Zip
03276-5415
Phone Number
603-527-4400
Tilton, NH 03276Get directions →

Provider Business Mailing Address Details

Address
18 Ty Ln
Concord, NH 03303-1049
City
Concord
State
NH
Zip
03303-1049

License Information

License Number
075906-23
License State
NH
Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X · 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 Mallory B Bruneau?

The NPI number of Mallory B Bruneau is 1578339164. It was assigned on November 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Mallory B Bruneau?

Mallory B Bruneau is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in NH under license number 075906-23.

Where does Mallory B Bruneau practice?

The practice location is 139 Winter St, Tilton, NH 03276-5415. The office can be reached at 603-527-4400 (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 1578339164 directly on the NPPES registry website.

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