NPI 1245357573 · live from the CMS NPI Registry
Mary Jane Bruen, NP
Nurse Practitioner, Pediatrics in Lansing, MI. National Provider Identifier 1245357573, active.
NPI record
| NPI | 1245357573 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1200 E Michigan Ave, Suite 460, Lansing, MI 48912 |
| Practice phone | 517-364-5490 |
| Mailing address | Po Box 13008, Lansing, MI 48901 |
| Enumerated | March 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | Mary Ordowski |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704110413 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.