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ABIGAIL EMILY FAIRLIE BRUCE MS ANP-BC RN PHN NPI 1548607948


NPI Information

NPI: 1548607948
Provider Name: ABIGAIL EMILY FAIRLIE BRUCE, MS, ANP-BC, RN, PHN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
66 TERRACE AVENUE
BOLINAS, CA
ZIP 94924
Phone: (415) 987-6542
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Abigail Emily Fairlie Bruce, MS, ANP-BC, RN, PHN is an adult health nurse practitioner in Bolinas, CA. Abigail Emily Fairlie Bruce, MS, ANP-BC, RN, PHN NPI is 1548607948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

66 TERRACE AVENUE
BOLINAS, CA
ZIP 94924-683
Phone: (415) 987-6542
Fax: (888) 897-6505

The enumeration date for this NPI number is 5/27/2013 and was last updated on 6/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC1500XRegistered NurseCommunity Health802370CALIFORNIANo
2171400000XHealth and Wellness CoachCALIFORNIANo
3363LP2300XNurse PractitionerPrimary Care23366CALIFORNIANo
4363LA2200XNurse PractitionerAdult Health23366CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.