Bruce, Tia
Bruce, Tia is an individual health care provider with primary practice located at 303 N Keene St Suite 404, Columbia MO 65201-7193. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bruce, Tia can be contacted via phone (573) 777-7627.Contact Information
Primary practice address
303 N Keene St Suite 404
Columbia MO 65201-7193
Phone: (573) 777-7627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 2015044321 | Missouri |
Profile Details
| NPI number | 1366996050 |
|---|---|
| LBN Legal business name | Bruce, Tia |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2016 |
| Last updated | Aug 10th, 2016 - about 10 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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