Chanelle Brusseau

NPI 1467291179 · on the registry since 2024

Practice

Address: 500 W 11th St
Panama City, FL 32401
Phone: (850) 785-8557
Organisation at this address: Advanced Urology Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Also registered as: 363AM0700X
Licence states on file: CT, FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida