LATOSCA BRUNNER (NPI# 1710411822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411822 |
| Entity Type | Individual |
| Full Name | LATOSCA BRUNNER |
| Credential | AGAC-NP |
| Practice Address |
221 W Beckley Blvd Pavilion 2 Suite 929 Dallas TX 75202 |
| Practice Telephone | 2149605681 |
| Practice Fax Number | 2179472727 |
| Mailing Telephone | 2149605681 |
| Mailing Fax Number | 2179472727 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP132721 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
221 W BECKLEY BLVD PAVILION 2 SUITE 929 |
| City | DALLAS |
| State | TX |
| Zip Code | 75202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871925982 | Lew Sterrett Justice Center Pharmacy | Pharmacy | 113 W Commerce, Dallas, TX 75202 | 2013-07-31 |
| 1790001683 | Andrew Paul Schade | Psychologist | 1412 Main St., Suite 320, Dallas, TX 75202 | 2010-04-16 |
| 1912199969 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Main Street, Dallas, TX 75202 | 2007-08-14 |
| 1801991518 | Kay Karen Redwine | Nurse Practitioner | 703 Mckinney Avenue, Suite 433, Dallas, TX 75202 | 2006-09-14 |
| 1922544113 | Michael Jafarzadeh | Psychologist | 1412 Main St, Ste. 320, Dallas, TX 75202 | 2017-01-11 |
| 1730263765 | Keith W Brewster | Dentist | 1717 Main St, Suite 2480, Dallas, TX 75202 | 2006-10-25 |
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1477534014 | Michael Howard Langfus | Physician Assistant | 703 Mckinney Ave, Dallas, Dallas, TX 75202-1007 | 2005-11-10 |
| 1265733547 | Local Doctor Housecall | General Practice | 703 Mckinney Ave, Suite 421, Dallas, TX 75202-1007 | 2010-11-03 |
| 1568799591 | Central Laboratory Services, Inc. | Clinical Medical Laboratory | 703 Mckinney Ave, Ste. 403, Dallas, TX 75202-1007 | 2009-11-12 |
| Find all providers in zip 75202 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| 1952773251 | Dorothy Ntende | Nurse Practitioner | 11816 Inwood Rd, Pmb 147, Dallas, TX 75244-8011 | 2015-10-26 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.