Individual
COLLEEN BRUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2825 SIENA HEIGHTS DR STE 102, HENDERSON, NV 89052-3976
(702) 940-1535
(702) 940-1536
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209014934
IL
363LF0000X
Family Nurse Practitioner
Primary
817769
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477005304
—
NV
01
—
817769
STATE LICENSE
NV
Enumeration date
10/26/2016
Last updated
10/17/2022
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