Individual provider · Type 1 NPI
Mary Jane Bruen, NP
Pediatric Nurse Practitioner · Lansing, MI
NPI number
1245357573
Active
Practice location
1200 E Michigan Ave, Suite 460
Lansing, MI 48912-1800
Fax (517) 364-5499
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704110413 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1245357573
Mary Jane Bruen, NP's National Provider Identifier is 1245357573, issued on Mar 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lansing, MI. The record was last updated on Jul 8, 2007.