Wellformed AI

NPI 1700762507 · live from the CMS NPI Registry

Grace Anne Bruce, CPNP-PC

Nurse Practitioner, Pediatrics in Carbondale, CO. National Provider Identifier 1700762507, active.

NPI record

NPI1700762507 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location2615 Dolores Way, Carbondale, CO 81623
Practice phone970-984-3333
Mailing address311 Cleveland Pl, Carbondale, CO 81623
EnumeratedAugust 15, 2025
Last updatedAugust 15, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200XAPN.1001085-NP (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.