Individual
ISABEL BURNS BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN-RN
Contact information
Practice address
777 N RAYMOND STREET, BOISE, ID 83704
(208) 514-2500
Mailing address
4004 N COLLISTER DRIVE, BOISE, ID 83703
(208) 830-1128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201509013RN
OR
163W00000X
Registered Nurse
Primary
N-42986
ID
163W00000X
Registered Nurse
RN60743305
WA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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