Doctor Name: | MRS. MELISSA A BRUCE |
NPI Number: | 1558626028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 500055 |
Business Practice Address: | 1401 W Wheeler Ave Ste A Aransas Pass, TX - 783364530 |
Business Phone Number: | 3617581599 |
Business Fax Number: | 3617582227 |
Mailing Address: | 1401 W Wheeler Ave, Suite A ARANSAS PASS |
State: | TX |
Postal Code: | 783364522 |
Phone Number: | 3617581599 |
Fax Number: | 3617582227 |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 500055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |