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Contact Information

SUSAN A BRUCE, CRNP
1315 BURRO AVE
CLOUDCROFT, NM88317-7719
 Phone: 575-682-2002
 Fax: 575-682-2003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN A BRUCE · (Female)

NPI # 1326276395
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/29/2009
Last updated 09/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # CNP02684
  • MD Medicaid 025174700
  • NM Medicaid 99120330
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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