Elyse Renate Brueggemann

NPI #1205626686 in Longmont, Colorado

Provider Information

NPI Number: 1205626686
Entity Type: Individual
Name: Elyse Renate Brueggemann
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 9, 2025
Last Updated: May 9, 2025

Practice Location

Address: 220 E ROGERS RD
City: Longmont
State: Colorado
ZIP Code: 80501-6027
Phone: (303) 697-2583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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