Provider Demographics
NPI:1376432229
Name:BRUNS, MARIA ANTOINETTA (RN-MSN, PMHNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ANTOINETTA
Last Name:BRUNS
Suffix:
Gender:F
Credentials:RN-MSN, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19904 AUGUSTA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-7549
Mailing Address - Country:US
Mailing Address - Phone:812-577-3587
Mailing Address - Fax:
Practice Address - Street 1:19904 AUGUSTA DR STE 3
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-7549
Practice Address - Country:US
Practice Address - Phone:812-577-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28272474A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health