Sandra Marie Bruni-Walkorn | Middletown, NY • PECOS Search

Sandra Marie Bruni-Walkorn

Registered Nurse

Nursing Service Providers

21 Prince St, Middletown, NY 10940-3918

PECOS Enrollment

Based on the most recent information from CMS, provider Sandra Marie Bruni-Walkorn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033458062
Provider Type
Individual
Full Name
Bruni-Walkorn, Sandra Marie
Title
Ms.
Credential
RN BSN

Gender
Female
Sole Proprietor
No
Enumeration Date
2/12/2013
Last Updated
2/12/2013

Contact Information

Practice Location

21 Prince St, Middletown, NY 10940-3918

Unlisted Fax

Mailing Location

21 Prince St, Middletown, NY 10940-3918

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 470931 New York