Alice Odelia Bruggeman, NP

NPI #1114020104 in Portland, Indiana

Provider Information

NPI Number
1114020104
Entity Type
Individual
Name
Alice Odelia Bruggeman, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Sep 6, 2006
Last Updated
Dec 18, 2020

Practice Location

Address
428 WEST VOTAW STREET
Address 2
SUITE A
State
Indiana
ZIP Code
47371-0710
Phone
(260) 726-8822

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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