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NPI Code Detail

MEDICARE: ERIN L. BRUSS MSN, FN-C

MEDICARE:   ERIN L. BRUSS  MSN, FN-C
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 PractitionerRN.399724OH

General Provider Information

NPI Number : 1093288409
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN L. BRUSS MSN, FN-C
Provider Business Mailing Address
First Line : 1300 W 9TH ST APT 1007
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1041
Country : US
Telephone Number : 440-506-9306
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W 9TH ST APT 1006
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1041
Country : US
Telephone Number : 440-506-9306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/08/2019

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