Doctor Name: | SUE ANN BRUGMAN |
NPI Number: | 1538501085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-053063 |
Business Practice Address: | 310 Main St Royal, IA - 513577607 |
Business Phone Number: | 7129332727 |
Business Fax Number: | 7129332724 |
Mailing Address: | Po Box 246, 310 Main Street ROYAL |
State: | IA |
Postal Code: | 513570246 |
Phone Number: | 7129332727 |
Fax Number: | 7129332724 |
NPI Enumeration Date: | 07/25/2013 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-053063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |