Bruderly, Valerie J

Bruderly, Valerie J is an individual health care provider with primary practice located at 2210 Jackson St , Anderson IN 46016-4363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bruderly, Valerie J can be contacted via phone (765) 683-3118.

Contact Information

Primary practice address
2210 Jackson St Anderson IN 46016-4363
Phone: (765) 683-3118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71000523A Indiana

Profile Details

NPI number 1992705792
LBN Legal business name Bruderly, Valerie J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Sep 17th, 2015 - about 11 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 1992705792 NPPES
Indiana MEDICAID 200263510

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