Individual provider · Type 1 NPI

Peter John Brucker, RN

Registered Nurse · Salem, OR

NPI number 1720105968 Active

Practice location

3355 Deer Lake Ct SE
Salem, OR 97301-9374

Mailing address

PO Box 932, 3355 Deer Lake Ct SE
Salem, OR 97308-0932

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XNone listed

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1720105968

Peter John Brucker, RN's National Provider Identifier is 1720105968, issued on Mar 23, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.