Individual
ALEXA DENA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
326 WASHINGTON STREET, NORWICH, CT 06360-4710
(860) 889-8331
(860) 823-1501
Mailing address
4492 BLACKLAND DR, MARIETTA, GA 30067-4710
(678) 314-8525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6472
CT
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
07/24/2023
Last updated
05/23/2024
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