Mary Jane Bruen is a Pediatrics in Lansing, Michigan. Mary Jane Bruen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Jane Bruen is 1245357573. The last update date is 2007-07-08.
Mary Jane Bruen's current location address is Po Box 13008, Lansing, Michigan. You can contact this provider via phone number 5173646253 and fax number 5173646208. The mailing address for Mary Jane Bruen is Po Box 13008, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Bruen |
|---|---|
| Address | Po Box 13008, Lansing, Michigan |
| Phone Number | 5173646253 |
| Fax Number | 5173646208 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1245357573 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 13008 |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 489013008 |
| Phone Number | 5173646253 |
| Fax Number | 5173646208 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704110413 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4327027 | MI | -- | |
| 5008765830 | MI | BCBS INDIVIDUAL PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Jane Bruen by the Centers for Medicare & Medicaid Services?
The Mary Jane Bruen has been assigned the NPI (National Provider Identifier) 1245357573 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Jane Bruen?
The Mary Jane Bruen is physically situated at Po Box 13008, in the city of Lansing, state of MI, with the postal code 489013008.
What is Mary Jane Bruen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Jane Bruen's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date was the 1245357573 assigned to Mary Jane Bruen?
The Mary Jane Bruen was issued its 1245357573 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary Jane Bruen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Jane Bruen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.