Individual
AMY BRUGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
40 N 64TH ST, BELLEVILLE, IL 62223-3808
(618) 397-8400
Mailing address
2500 EXECUTIVE DRIVE, SUITE 104, ST. CHARLES, MO 63303
(888) 811-4677
(800) 605-8906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209005238
IL
Other
Enumeration date
06/21/2005
Last updated
12/02/2014
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