Individual
ALICE ODELIA BRUGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
428 WEST VOTAW STREET, SUITE A, PORTLAND, IN 47371-0710
(260) 726-8822
(260) 726-7857
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000942A
IN
Other
Enumeration date
09/06/2006
Last updated
12/18/2020
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