Individual provider · NPI-1

Elizabeth A Bruckbauer, APRN, BC

Nurse Practitioner, Adult Health · Madison, WI

NPI number1043348998

StatusActive

Last updated in NPPESApr 27, 2015

Details

NPI: 1043348998
Entity type: Individual (NPI-1)
Name: Elizabeth A Bruckbauer
Credential: APRN, BC
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 1, 2007
Last updated: Apr 27, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2200X	Nurse Practitioner, Adult Health	96-033	WI	Yes
163WC1400X	Registered Nurse, College Health	82057-030	WI

Practice location

333 E Campus Mall
Mailroom 8104
Madison, WI 53715-1365

Phone 608-262-9640 · Fax 608-262-9160

Mailing address

333 E Campus Mall
Mailroom 8104
Madison, WI 53715-1365

Phone 608-262-9640 · Fax 608-262-9160

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