MISS DIANE RUTH BRUDER CNS NPI 1124041504

NPI Information

  • NPI: 1124041504
  • Provider Name: MISS DIANE RUTH BRUDER, CNS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2000 KLEIN STREET
    ST. PETER, MN
    ZIP 56082
  • Phone: (507) 931-7192

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NPI Details

MISS Diane Ruth Bruder, CNS is a psychiatric/mental health nurse practitioner in St. Peter, MN. MISS Diane Ruth Bruder, CNS NPI is 1124041504. 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:

2000 KLEIN STREET
ST. PETER, MN
ZIP 56082
Phone: (507) 931-7192

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR 102741-9MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P64141MEDICARE UPINMINNESOTA

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: 3/30/2025

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