Individual provider · Type 1 NPI
Abigail Emily Fairlie Bruce, MS, ANP-BC, RN, PHN
Adult Health Nurse Practitioner · Bolinas, CA
NPI number
1548607948
Active
Practice location
66 Terrace Avenue
Bolinas, CA 94924-0683
Fax (888) 897-6505
Mailing address
PO Box 683
Bolinas, CA 94924-0683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 802370 (CA) |
| Health & Wellness Coach | 171400000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | 23366 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 23366 (CA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1548607948
Abigail Emily Fairlie Bruce, MS, ANP-BC, RN, PHN's National Provider Identifier is 1548607948, issued on May 27, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bolinas, CA. The record was last updated on Jun 16, 2022.