Individual provider · Type 1 NPI

Darrell Nayo Bruce, PA-S

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1508604752 Active

Practice location

720 Westview Dr SW
Atlanta, GA 30310-1458

Mailing address

11423 Woodfire Rd
Charlotte, NC 28269-5135

Other practice locations

  • 11423 Woodfire Rd, Charlotte, NC 28269-5135 · (704) 408-6433

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508604752

Darrell Nayo Bruce, PA-S's National Provider Identifier is 1508604752, issued on Jul 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 19, 2024.