Individual
KRISTIN BRUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5412 COURSEVIEW DR STE 215, MASON, OH 45040-2410
(513) 204-1910
Mailing address
4095 BROOKDALE LN UNIT 6, DAYTON, OH 45440-4187
(937) 361-0192
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0038456
OH
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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