Individual
DANIELLE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 GREAT OAKS DR STE 14, MONROE, GA 30655-8228
(770) 267-6565
Mailing address
92 GATES MILL DR, LAWRENCEVILLE, GA 30045-7134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN230846
GA
363LF0000X
Family Nurse Practitioner
Primary
RN230846
GA
Other
Enumeration date
07/02/2020
Last updated
07/22/2020
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