Individual provider · Type 1 NPI

Bryson James Robuck

Nurse Practitioner · Fort Wayne, IN

NPI number 1912508169 Active

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

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Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	28232997A (IN)
Nurse Practitioner Primary	363L00000X	71010835A (IN)

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 1912508169

Bryson James Robuck's National Provider Identifier is 1912508169, issued on Nov 4, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 14, 2022.