Individual
MISS DIANE RUTH BRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2000 KLEIN STREET, ST. PETER, MN 56082
(507) 931-7192
Mailing address
2000 KLEIN SSTREET, ST. PETER, MN 56082
(507) 931-7192
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R 102741-9
MN
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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