Bruen, Mary Jane

Bruen, Mary Jane is an individual health care provider with primary practice located at 1200 E Michigan Ave Suite 460, Lansing MI 48912-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bruen, Mary Jane can be contacted via phone (517) 364-5490.

Contact Information

Primary practice address
1200 E Michigan Ave Suite 460 Lansing MI 48912-1800
Phone: (517) 364-5490
Fax: (517) 364-5499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704110413 Michigan

Profile Details

NPI number 1245357573
LBN Legal business name Bruen, Mary Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

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 1245357573 NPPES
Michigan MEDICAID 4327027
Michigan Other 5008765830

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