Individual provider · Type 1 NPI

Heather Bruss, FNP-C

Nurse Practitioner · Moline, IL

NPI number 1639755747 Active

Practice location

550 30th Ave Ste 12
Moline, IL 61265-5975

Fax (309) 736-1152

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XA162114 (IA)
Internal Medicine Physician 207R00000X209022824 (IL)
Nurse Practitioner Primary 363L00000X209022824 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639755747

Heather Bruss, FNP-C's National Provider Identifier is 1639755747, issued on Mar 19, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moline, IL. The record was last updated on Jul 14, 2026.