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NPI 1861852881 · live from the CMS NPI Registry

Patricia Renee Bruce, NP

Registered Nurse, General Practice in Philadelphia, PA. National Provider Identifier 1861852881, active.

NPI record

NPI1861852881 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, General Practice 163WG0000X
Practice location606 Gorgas Ln, Philadelphia, PA 19128
Practice phone215-399-8714
EnumeratedMarch 3, 2016
Last updatedMarch 3, 2016
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Administrator163WA2000XRN287906L (PA)
Registered Nurse, General Practice primary163WG0000XSP004320C (PA)

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