Individual
TIFFANY BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 S LLOYD ST STE E201, ABERDEEN, SD 57401-4509
(605) 622-2545
(605) 229-5331
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2857
(605) 622-2859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000859
SD
Other
Enumeration date
06/23/2014
Last updated
07/21/2022
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