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NPI Code Detail

MEDICARE: ELIZABETH A BRUCE CNS, NP

MEDICARE: ELIZABETH A BRUCE CNS, 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner900158NC

General Provider Information

NPI Number : 1720057888
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A BRUCE CNS, NP
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4700 FALLS OF NEUSE RD STE 355
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6275
Country : US
Telephone Number : 855-501-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 04/28/2026

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