NPI 1518376607 · live from the CMS NPI Registry
Penny S Bruso, FNP
Nurse Practitioner, Family in Shaftsbury, VT. National Provider Identifier 1518376607, active.
NPI record
| NPI | 1518376607 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 677 Rte 7a, Shaftsbury, VT 05262 |
| Practice phone | 802-442-8531 |
| Mailing address | Po Box 379, 677 Rte 7a, Shaftsbury, VT 05262 |
| Enumerated | August 4, 2014 |
| Last updated | August 4, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 101.0105935 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.