Individual
MARILYN ANNE BRUDERER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
718 SMYTH RD, VA MEDICAL CENTER, MANCHESTER, NH 03104-7004
(603) 624-4366
(603) 626-6572
Mailing address
177 HOWE ST, METHUEN, MA 01844-2128
(978) 688-5743
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
204393-4405
UT
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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