Peter John Brucker, RN Valid NPI

Individual provider · Registered Nurse · Salem, OR

NPI

1720105968

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-23

Last updated

2007-07-08