Individual provider · Type 1 NPI

Heidi Marie Bruckert

Nurse Practitioner · Shawano, WI

NPI number 1831681402 Active

Practice location

1300 E Green Bay St
Shawano, WI 54166-2210

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X126356-30 (WI)
Nurse Practitioner Primary 363L00000X8675-33 (WI)

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 1831681402

Heidi Marie Bruckert's National Provider Identifier is 1831681402, issued on May 30, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shawano, WI. The record was last updated on Sep 13, 2018.