Individual
SONJA BRUCKLACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-2411
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-2411
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN0993288NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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