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Contact Information

NICOLE BRUGGER, PAC-C
1 MEDICAL CENTER DR
LEBANON, NH03756-0001
 Phone: 603-650-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE BRUGGER · (Female)

NPI # 1821543745
Status Active
Credentials PAC-C
Entity Individual
Enumeration date 08/20/2016
Last updated 05/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 004568
  • MA License # PA5846
  • NH License # 2029
Hospital affiliation(s)
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
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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