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General NPI Number Information
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NPI Number | 1508241415
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Entity Type | Individual
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Provider Name | NORSHERN BRUCE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 8369 FLORIDA BLVD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-7862
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Country | US
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Telephone | 225-380-5277
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Fax | 225-523-7033
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Provider Business Mailing Address
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Address Line | 13782B SYCAMORE ST
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City | WALKER
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State | LA
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Zip | 70785-7418
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Country | US
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Telephone | 225-313-8714
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Fax | 225-523-7033
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP129757
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP08312
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP08312
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License Number State | LA
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