Individual provider · Type 1 NPI

Bruce Richard Bacon, RN

Rehabilitation Registered Nurse · Milwaukee, WI

NPI number 1720097371 Active

Practice location

5000 W National Ave
Milwaukee, WI 53295-0001

Mailing address

2232 W Glen Hills Ct
Glendale, WI 53209-3353

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Registered Nurse Primary 163WR0400X122292-30 (WI)

Rehabilitation Registered Nurse: Definition to come...

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About NPI 1720097371

Bruce Richard Bacon, RN's National Provider Identifier is 1720097371, issued on Aug 5, 2006. The primary taxonomy on file is Rehabilitation Registered Nurse (163WR0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.