Rebecca Nicole Brueck
Nurse Practitioner - Psychiatric/Mental Health
677 East Main Suite A
Centreville
, Michigan 49032
Rebecca Nicole Brueck
Nurse Practitioner - Psychiatric/Mental Health
677 East Main Suite A
Centreville
, Michigan 49032
(269) 467-4238
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Rebecca Nicole Brueck
- 677 East Main Suite A
- Centreville, MI
- Zip : 49032
- Fax : (269) 467-4238
- Phone : (269) 467-1000
Second Address
- Rebecca Nicole Brueck
- 677 East Main Suite A
- Centreville, MI
- Zip : 49032
- Fax : (269) 467-4238
- Phone : (269) 467-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704277738 | MI |
National Provider Identifier
| NPI | 1003120510 |
|---|---|
| Provider Name | Rebecca Nicole Brueck |
| First Address | Centreville, MI 49032 |
| Second Address | Centreville, MI 49032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2010 |
| Last Update Date | 02/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1708146 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.