Bruce, Natalie D

Bruce, Natalie D is an individual health care provider with primary practice located at 1704 W Stockton St , Edmonton KY 42129-8137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bruce, Natalie D can be contacted via phone (270) 432-4800.

Contact Information

Primary practice address
1704 W Stockton St Edmonton KY 42129-8137
Fax: (270) 432-4804
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016998 Kentucky

Profile Details

NPI number 1205560752
LBN Legal business name Bruce, Natalie D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Mar 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205560752 NPPES
Kentucky MEDICAID 7100868390

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