Individual provider · Type 1 NPI
Lisa Marie Bruha
Primary Care Nurse Practitioner · Ord, NE
NPI number
1992353965
Active
Practice location
46725 809th Rd
Ord, NE 68862-5330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 112521 (NE) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1992353965
Lisa Marie Bruha's National Provider Identifier is 1992353965, issued on Sep 3, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ord, NE. The record was last updated on Sep 3, 2019.