Individual
MARY BRUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2371394
MA
363LP0222X
Critical Care Pediatric Nurse Practitioner
RN2371394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2371394
MA LIC
MA
Enumeration date
06/11/2015
Last updated
12/29/2022
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