Tiffany Bruckner, CNP
Nurse Practitioner in Aberdeen, SD. Individual provider (NPI-1).
NPI number1801201439
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1801201439
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Bruckner
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2014
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CP000859 | SD | Yes |
Other names
- Tiffany Moore (Former Name)
Practice location
201 S Lloyd St Ste E201Aberdeen, SD 57401-4509
Phone 605-622-2545 · Fax 605-229-5331
Mailing address
Po Box 1460Aberdeen, SD 57402-1460
Phone 605-622-2857 · Fax 605-622-2859
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