MEDICARE: MS. TAMIKA LYNN BRUCE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1104783034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMIKA LYNN BRUCE

Provider Business Mailing Address
First Line	:	25227 TRALEE CT
Second Line	:
City	:	DAMASCUS
State	:	MD
Zip	:	20872-2723
Country	:	US
Telephone Number	:	240-418-8865
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 45TH ST NE APT 528
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4773
Country	:	US
Telephone Number	:	202-300-7478
Fax Number	:

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/08/2026

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