| Doctor Name: | BRUCE WARWICK |
| NPI Number: | 1386846426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 15568 |
| Business Practice Address: | 436 And 5th Ted Stevens Way Kotzebue, AK - 997520043 |
| Business Phone Number: | 9074427455 |
| Business Fax Number: | 9074427245 |
| Mailing Address: | Po Box 112, 20 Unit 3rd Street Apt#102 KOTZEBUE |
| State: | AK |
| Postal Code: | 997520112 |
| Phone Number: | 9074427455 |
| Fax Number: | 9074427245 |
| NPI Enumeration Date: | 06/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 15568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |