MEDICARE: ALLISON BRUCE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9470858	MA

General Provider Information

NPI Number	:	1225852940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON BRUCE APRN

Provider Business Mailing Address
First Line	:	202 W CURTIS ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3650
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 W CURTIS ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3650
Country	:	US
Telephone Number	:	617-797-5914
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	01/02/2026

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