Individual
PETRA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R N, PHN, BSN
Contact information
Practice address
2225 INDIGO HILLS DR UNIT 5, CORONA, CA 92879-7889
(951) 733-1267
Mailing address
2225 INDIGO HILLS DR UNIT 5, CORONA, CA 92879-7889
(951) 733-1267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
500131
CA
163WM0102X
Maternal Newborn Registered Nurse
500131
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
500131
CA
163WP0200X
Pediatric Registered Nurse
500131
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
500131
CA
163WP2201X
Ambulatory Care Registered Nurse
500131
CA
163WX0003X
Inpatient Obstetric Registered Nurse
500131
CA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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