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Individual
ISABELLA FOX BRUKETTA
Active
Individual
ISABELLA FOX BRUKETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3328
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16652592
CAQH
NV
Enumeration date
04/29/2024
Last updated
11/12/2025
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