Individual
ELYSE RENATE BRUEGGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 697-2583
Mailing address
4659 MIRA DEL SOL CT, CASTLE ROCK, CO 80104-7677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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