Individual
NICOLE L BRUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
(262) 798-7201
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC PULMONARY DISEASE, MILWAUKEE, WI 53226-4874
(414) 266-6730
(414) 266-6742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
158415
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679810857
—
WI
Enumeration date
01/09/2013
Last updated
08/16/2022
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