Individual
MRS. PATRICIA RENEE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
606 GORGAS LN, PHILADELPHIA, PA 19128-2448
(215) 399-8714
(215) 683-1815
Mailing address
606 GORGAS LN, PHILADELPHIA, PA 19128-2448
(215) 399-8714
(215) 683-1815
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN287906L
PA
163WG0000X
General Practice Registered Nurse
Primary
SP004320C
PA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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