Joann Mary Bruce is a Family in Modesto, California. Joann Mary Bruce practices all healthcare services and medical treatments related to Family. The NPI Number for Joann Mary Bruce is 1821188103. The last update date is 2007-07-08.
Joann Mary Bruce's current location address is 4125 Bangs Ave, Modesto, California. You can contact this provider via phone number 2095576107. The mailing address for Joann Mary Bruce is 4125 Bangs Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joann Mary Bruce |
|---|---|
| Address | 4125 Bangs Ave, Modesto, California |
| Phone Number | 2095576107 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1821188103 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4125 Bangs Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953568713 |
| Phone Number | 2095576107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 201883 10203 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code assigned to Joann Mary Bruce by the Centers for Medicare & Medicaid Services?
The Joann Mary Bruce has been issued the NPI (National Provider Identifier) 1821188103, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joann Mary Bruce?
The Joann Mary Bruce is situated at 4125 Bangs Ave, in the city of Modesto, state of CA, with the zip code 953568713.
What is the Joann Mary Bruce's specialty and taxonomy code?
The Joann Mary Bruce's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did Joann Mary Bruce receive its 1821188103 assignment from the Centers for Medicare & Medicaid Services?
The Joann Mary Bruce was assigned its 1821188103 on 2006-10-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Joann Mary Bruce, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joann Mary Bruce, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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