Individual
MANDY DE BRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1139 LEXINGTON AVE STE A, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Mailing address
1139 LEXINGTON AVE STE A, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
24265
SC
363LA2200X
Adult Health Nurse Practitioner
APRN11013219
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
GAA-NP000003
GA
Other
Enumeration date
06/27/2021
Last updated
02/22/2024
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