Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE RENEE BRUNAUGH, NP
Active Sole ProprietorNICOLE RENEE BRUNAUGH, NP is a Gerontological Nurse Practitioner healthcare provider located in ALTON, Illinois. NPI 1750958351 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ALTON, IL
Registration Details
- NPI Number
- 1750958351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2021 (5.1345659260617 yrs)
- Last Updated
- Oct 14, 2025
- Licenses
-
209022501 (IL)209022501 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
#2 MEMORIAL DR.SUITE 103ALTON, IL, 620026723Browse IL providers · Browse ZIP 62002
- Phone
- 6184637246
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in ALTON, IL
| Name | Credential | NPI |
|---|---|---|
| SHANAN NICOLE HESSELDENZ | — | 1467306431 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.