Bruce, Diana Michelle

Bruce, Diana Michelle is an sole proprietor health care provider with primary practice located at 1150 Veterans Blvd Neurosurgery Dept., Redwood City CA 94063-2037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bruce, Diana Michelle can be contacted via phone (650) 299-4436.

Contact Information

Primary practice address
1150 Veterans Blvd Neurosurgery Dept. Redwood City CA 94063-2037
Phone: (650) 299-4436
Fax: (650) 299-2677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17825 California

Profile Details

NPI number 1801051529
LBN Legal business name Bruce, Diana Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Feb 11th, 2022 - about 4 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 1801051529 NPPES
California Other PA17825 MEDICAL LICENSE

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