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Individual
ANDREA K BRUICK
Active
Individual
ANDREA K BRUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28146605
IN
363LN0000X
Neonatal Nurse Practitioner
71003995
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
71003995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201074440
—
IN
01
—
P01291671
RAILROAD MEDICARE
IN
Enumeration date
07/06/2012
Last updated
02/07/2024
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