Individual
LISA MARIE BRUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46725 809TH RD, ORD, NE 68862-5330
(308) 730-1100
Mailing address
46725 809TH RD, ORD, NE 68862-5330
(308) 730-1100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
112521
NE
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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