Individual
JARED EDWARD BRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
505 E NORTH FOOTHILLS DR, SPOKANE, WA 99207-2101
(509) 838-4651
(509) 456-4536
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 456-4536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
67924
ID
363L00000X
Nurse Practitioner
Primary
AP61017581
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61017581
WA
Other
Enumeration date
11/19/2019
Last updated
04/15/2026
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