Individual provider · Type 1 NPI
Martha Edie Brucker, AGPCNP - BC
Adult Health Nurse Practitioner · Orlando, FL
NPI number
1164814281
Active
Practice location
1400 S Orange Ave
Orlando, FL 32806-2134
Fax (321) 841-3794
Other practice locations
- 825 Eastlake Ave E, Seattle, WA 98109-4405 · (206) 520-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP61520060 (WA) |
| Gerontology Nurse Practitioner | 363LG0600X | AP61520060 (WA) |
| Nurse Practitioner | 363L00000X | AP61520060 (WA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN11039538 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1164814281
Martha Edie Brucker, AGPCNP - BC's National Provider Identifier is 1164814281, issued on Feb 26, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Jan 13, 2026.