Individual provider · Type 1 NPI
Bruce Douglas Clyne, CRNP
Nurse Practitioner · Columbus, GA
Practice location
1310 13th Avenue, Va Clinic
Columbus, GA 31902
Fax (706) 653-6645
Mailing address
62 Stillwaters Grove
Dadeville, AL 36853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-077041 (AL) |
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 1720196165
Bruce Douglas Clyne, CRNP's National Provider Identifier is 1720196165, issued on Aug 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, GA. The record was last updated on Jul 11, 2007.