Individual
LESLIE BRUCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8330 NAAB RD, INDIANAPOLIS, IN 46260-5925
(317) 338-5100
Mailing address
400 STACY LEE CT, WESTMINSTER, MD 21158-9421
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
PENDING
IN
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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