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NPI Code Detail

MEDICARE: BRENDA NUNES RUSKEY NP

MEDICARE:   BRENDA NUNES RUSKEY  NP
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
1363LF0000XFamily Nurse PractitionerRN264193MA

General Provider Information

NPI Number : 1366921298
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA NUNES RUSKEY NP
Provider Business Mailing Address
First Line : 110 LIBERTY ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5674
Country : US
Telephone Number : 508-894-0400
Fax Number :
Provider Business Practice Location Address
First Line : 110 LIBERTY ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5674
Country : US
Telephone Number : 508-894-0766
Fax Number : 508-565-0097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 04/14/2026

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Directions to “ BRENDA NUNES RUSKEY NP” Practice Location

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