Individual
MRS. AMY LOUISE BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 WILSON AVE, WASHINGTON HOSP, WASHINGTON, PA 15301-3336
(800) 394-4445
(706) 396-3252
Mailing address
29 ULLOM RD, WASHINGTON, PA 15301-8652
(724) 809-8691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77260
WV
163W00000X
Registered Nurse
RN586328
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
109363
PA
Other
Enumeration date
10/22/2015
Last updated
03/02/2017
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