Individual provider · Type 1 NPI

Michelle M. Wruck, NP

Pediatric Nurse Practitioner · Water Mill, NY

NPI number 1902928229 Active

Practice location

1152 Montauk Hwy
Water Mill, NY 11976-2635

Fax (631) 726-8031

Mailing address

8 Drew Dr
Eastport, NY 11941-1335

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380554-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1902928229

Michelle M. Wruck, NP's National Provider Identifier is 1902928229, issued on Apr 6, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Water Mill, NY. The record was last updated on Jul 8, 2007.