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Individual
ABIGAIL EMILY FAIRLIE BRUCE
Active
Individual
ABIGAIL EMILY FAIRLIE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP-BC, RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
802370
CA
171400000X
Health & Wellness Coach
—
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
23366
CA
363LP2300X
Primary Care Nurse Practitioner
23366
CA
Other
Enumeration date
05/27/2013
Last updated
06/16/2022
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