Most Relevant Information
Provider Data
| NPI Number: | 1003638586 |
| Provider Name: | BRITTNEY NICOLE BRUCE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.170959.MEDS-IV |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
19003 FAIRWAY AVE
MAPLE HEIGHTS
OH
441371616
Practice Location Phone/Fax
| Phone: | 2165326840 |
| Fax: |
Provider Mailing Location
19003 FAIRWAY AVE
MAPLE HEIGHTS
OH
441371616
Provider Mailing Phone/Fax
| Phone: | 2165326840 |
| Fax: |