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Individual

DR. REBECCA LYNN BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP FNP PMHNP

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5552
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5552

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71454
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
071454
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200883990A
OK
Enumeration date
08/28/2019
Last updated
08/19/2024
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