Bruce Douglas Clyne in Columbus - Nurse Practitioner
Bruce Douglas Clyne - NPI 1720196165
Bruce Douglas Clyne is a Nurse Practitioner in Columbus, Georgia. Bruce Douglas Clyne practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Bruce Douglas Clyne is 1720196165. The last update date is 2007-07-11.
Bruce Douglas Clyne's current location address is 1310 13th Avenue, Columbus, Georgia. You can contact this provider via phone number 7062577200 and fax number 7066536645. The mailing address for Bruce Douglas Clyne is 1310 13th Avenue, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Douglas Clyne |
|---|---|
| Address | 1310 13th Avenue, Columbus, Georgia |
| Phone Number | 7062577200 |
| Fax Number | 7066536645 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1720196165 |
|---|---|
| Provider Enumeration Date | 2006-08-27 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 1310 13th Avenue |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 31902 |
| Phone Number | 7062577200 |
| Fax Number | 7066536645 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1-077041 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Bruce Douglas Clyne by the Centers for Medicare & Medicaid Services?
The Bruce Douglas Clyne has been assigned the NPI (National Provider Identifier) 1720196165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Bruce Douglas Clyne is physically located?
The Bruce Douglas Clyne is physically situated at the following address: 1310 13Th Avenue, Columbus, GA, 31902.
What is Bruce Douglas Clyne's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Douglas Clyne's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did the Bruce Douglas Clyne receive its 1720196165?
The Bruce Douglas Clyne was issued its 1720196165 on 2006-08-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Bruce Douglas Clyne's details last updated?
The information pertaining to the Bruce Douglas Clyne, including its address, specialty, and other details, was most recently updated on 2007-07-11.