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Contact Information

HEATHER J BRUCKMAN, NP
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN46202-5109
 Phone: 317-274-4779
 Fax: 317-948-9806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HEATHER J BRUCKMAN · (Female)

NPI # 1578946463
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/09/2015
Last updated 06/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 28140695
  • IN License # 71005548
  • IN License # 71005548A
  • IN Medicaid 201327820
  • IN Other 1102404093 ANTHEM PTAN
  • IN Other 090540996 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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