SearchWashington363A00000X

Samantha Brunner, PA-C

NPI 1639451750 · on the registry since 2011

Practice

Address
411 Fortuyn Rd
Grand Coulee, WA 99133
Phone
(509) 633-1911
Fax
(509) 633-3644
Organisation at this address
Cheney Owl Pharmacy Inc
Douglas, Grant, Lincoln And Okanogan Counties Hosp. Dist. #6
Douglas, Grant, Lincoln, Okanogan Public Hospital District #6
Douglas, Grant, Lincoln And Okanogan Couties Public Hosp. Dist. #6
Douglas, Grant, Lincoln And Okanogan Counties Hospital District #6
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-01

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 Washington