Individual
MRS. MELISSA RENEE BRUEGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 341-0288
(859) 341-7482
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-0288
(859) 341-7482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008843
KY
363LF0000X
Family Nurse Practitioner
1125425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100312860
—
KY
Enumeration date
07/25/2014
Last updated
06/14/2022
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