person
Mary Jane Bruen, NP
Pediatric Nurse Practitioner in Lansing, Michigan
NPI 1245357573

Mary Jane Bruen is a Pediatric Nurse Practitioner based in Lansing, MI and is specialized in Pediatrics. Mary Jane Bruen practices in Lansing, MI and has the professional credentials of NP. The NPI Number for Mary Jane Bruen is 1245357573 and holds a License No. 4704110413 (Michigan).

The current practice location address for Mary Jane Bruen is 1200 E Michigan Ave, Lansing, MI and can be reached out via phone at 517-364-5490 and via fax at 517-364-5499.

Location: 1200 E Michigan Ave, Lansing, MI, 48901-3008
person
Provider Profile Details
NPI Number
1245357573
Provider Name
Mary Jane Bruen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1200 E Michigan Ave, Lansing, MI, 48901-3008
Phone Number
517-364-5490
Fax Number
517-364-5499
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4327027 05 MI
5008765830 01 MI BCBS INDIVIDUAL PIN
institution
Provider Business Practice Location Address Details
Address
1200 E Michigan Ave
City
State
Zip
48912-1800
Phone Number
517-364-5490
Fax Number
517-364-5499
person
Provider Business Mailing Address Details
Address
1200 E Michigan Ave
City
State
Zip
48912-1800
Phone Number
517-364-5490
Fax Number
517-364-5499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704110413 (Michigan)
Definition
Definition to come...
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