Individual provider · Type 1 NPI

Alice Odelia Bruggeman, NP

Family Nurse Practitioner · Portland, IN

NPI number 1114020104 Active

Practice location

428 West Votaw Street, Suite A
Portland, IN 47371-0710

Call (260) 726-8822 Map

Fax (260) 726-7857

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71000942A (IN)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1114020104

Alice Odelia Bruggeman, NP's National Provider Identifier is 1114020104, issued on Sep 6, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, IN. The record was last updated on Dec 18, 2020.