Most Relevant Information
Provider Data
| NPI Number: | 1003008772 |
| Provider Name: | LOUISE MARY BRUCE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP17496 |
Most Important Dates
| Enumeration Date: | 08/15/2007 |
| Last Updated: | 10/08/2012 |
Provider Practice Location
1691 THE ALAMEDA
SAN JOSE
CA
951262203
Practice Location Phone/Fax
| Phone: | 4082877526 |
| Fax: | 4089716963 |
Provider Mailing Location
750 S BASCOM AVE
SAN JOSE
CA
951282603
Provider Mailing Phone/Fax
| Phone: | 4088854650 |
| Fax: | 4088853505 |