Candice L Bruce NP

NPI 1598060592 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1598060592
Gender Female
Enumeration Date 01/21/2011
Last Updated 01/29/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
101 AUBREYS LOOP
SOUTH BOSTON VA, 24592-5054, US
Phone (434) 517-3879
Fax (434) 517-3989
Business Location
101 AUBREYS LOOP
SOUTH BOSTON VA, 24592-5054, US
Phone (434) 517-3879
Fax (434) 517-3989
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number 16435
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According to our database, Candice L Bruce NP NPI is 1598060592, taxonomy code is 363LF0000X and license number is 16435, license state is located at Tennessee. Candice L Bruce NP physically located at 101 Aubreys Loop, South Boston VA, 24592-5054. NPI Number Candice L Bruce NP has the Individual type.

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1598060592 NPI number is provided on an as is basis without warranty of any kind. 1598060592 is maintained by the National Plan & Provider Enumeration System. The contents of Candice L Bruce NP are for informational purposes only.