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NPI Code Detail

MEDICARE: MS. ERIKA BRUCE NP

MEDICARE: MS. ERIKA BRUCE 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
1363LA2200XAdult Health Nurse Practitioner249444CA

General Provider Information

NPI Number : 1881694198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIKA BRUCE NP
Provider Business Mailing Address
First Line : 955 RAMONA WAY
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-3726
Country : US
Telephone Number : 510-382-1844
Fax Number : 510-383-9775
Provider Business Practice Location Address
First Line : 2001 DWIGHT WAY
Second Line : SUITE # 1363
City : BERKELEY
State : CA
Zip : 94704-2608
Country : US
Telephone Number : 510-204-4666
Fax Number : 510-204-5304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/08/2007

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