Alice Odelia Bruggeman in Portland - Family
Alice Odelia Bruggeman - NPI 1114020104
Alice Odelia Bruggeman is a Family in Portland, Indiana. Alice Odelia Bruggeman practices all healthcare services and medical treatments related to Family. The NPI Number for Alice Odelia Bruggeman is 1114020104. The last update date is 2020-12-18.
Alice Odelia Bruggeman's current location address is 428 West Votaw Street, Portland, Indiana. You can contact this provider via phone number 2607268822 and fax number 2607267857. The mailing address for Alice Odelia Bruggeman is 428 West Votaw Street, Portland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Odelia Bruggeman |
|---|---|
| Address | 428 West Votaw Street, Portland, Indiana |
| Phone Number | 2607268822 |
| Fax Number | 2607267857 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1114020104 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2020-12-18 |
Provider Mailing Address Detail
| Address | 428 West Votaw Street |
|---|---|
| City | Portland |
| State | Indiana (IN) |
| Post Code | 473710710 |
| Phone Number | 2607268822 |
| Fax Number | 2607267857 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71000942A |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Alice Odelia Bruggeman by the Centers for Medicare & Medicaid Services?
The Alice Odelia Bruggeman has been assigned the NPI (National Provider Identifier) 1114020104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Alice Odelia Bruggeman's facilities are geographically located?
The facilities of Alice Odelia Bruggeman are physically situated at the following location: 428 West Votaw Street, Portland, IN, 473710710.
What is Alice Odelia Bruggeman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alice Odelia Bruggeman is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Alice Odelia Bruggeman receive its 1114020104 assignment from the Centers for Medicare & Medicaid Services?
The Alice Odelia Bruggeman was assigned its 1114020104 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information pertaining to Alice Odelia Bruggeman most recently updated or revised?
The details related to Alice Odelia Bruggeman, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-18.