Individual
ANNA BRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
505 S MAIN ST, ORANGE, CA 92868-4509
(714) 997-3000
Mailing address
1433 SUPERIOR AVE APT 365, NEWPORT BEACH, CA 92663-2722
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95027542
CA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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