Individual
MISS MIKAYLA SHAE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2440 BRIDGE AVE, ALBERT LEA, MN 56007-2088
(507) 320-7900
Mailing address
303 3RD ST SE, AUSTIN, MN 55912-4440
(507) 456-4679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A172066
IA
Other
Enumeration date
11/29/2022
Last updated
11/16/2023
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