Individual provider · Type 1 NPI
Brenna Shine Rugg, NP-C
Adult Health Nurse Practitioner · New Hyde Park, NY
NPI number
1104646504
Active
Practice location
1 Dakota Dr Ste 302
New Hyde Park, NY 11042-1136
Mailing address
2329 Lancaster Ave
Baldwin, NY 11510-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F31082401 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104646504
Brenna Shine Rugg, NP-C's National Provider Identifier is 1104646504, issued on Oct 11, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Hyde Park, NY. The record was last updated on Mar 21, 2026.