Doctor Name: | LOUISE MARY BRUCE |
NPI Number: | 1003008772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | NP17496 |
Business Practice Address: | 1691 The Alameda San Jose, CA - 951262203 |
Business Phone Number: | 4082877526 |
Business Fax Number: | 4089716963 |
Mailing Address: | 750 S Bascom Ave, SAN JOSE |
State: | CA |
Postal Code: | 951282603 |
Phone Number: | 4088854650 |
Fax Number: | 4088853505 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP17496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |