Provider Demographics
NPI:1699940767
Name:BRUNER, KARMA JEANNE (FNP)
Entity type:Individual
Prefix:MS
First Name:KARMA
Middle Name:JEANNE
Last Name:BRUNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:KARMA
Other - Middle Name:JEANNE
Other - Last Name:VIGIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:360 28 ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501
Mailing Address - Country:US
Mailing Address - Phone:970-242-1521
Mailing Address - Fax:970-242-8127
Practice Address - Street 1:360 28 ROAD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501
Practice Address - Country:US
Practice Address - Phone:970-242-1521
Practice Address - Fax:970-242-8127
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105684363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily