Bruccoleri, Patricia L

Bruccoleri, Patricia L is an individual health care provider with primary practice located at W8108 Dunning Rd , Pardeeville WI 53954-9564. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bruccoleri, Patricia L can be contacted via phone (608) 745-5750.

Contact Information

Primary practice address
W8108 Dunning Rd Pardeeville WI 53954-9564
Phone: (608) 745-5750
Fax: (608) 745-5750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1548397813
LBN Legal business name Bruccoleri, Patricia L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548397813 NPPES
Wisconsin MEDICAID 1911720

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