Miss Diane Ruth Bruder, CNS is a
Nurse Practitioner - Psychiatric/mental Health based in St. Peter, Minnesota. Miss Diane Ruth Bruder is licensed to practice in Minnesota (license number R 102741-9) and her current practice location is
2000 Klein Street, St. Peter, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 931-7192.
NPI number for Miss Diane Ruth Bruder is 1124041504 and her current mailing address is 2000 Klein Sstreet, St. Peter, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124041504.
Provider's Profile
| Full Name | Miss Diane Ruth Bruder |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 2000 Klein Street, St. Peter, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124041504
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Diane Ruth Bruder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124041504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R 102741-9 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Diane Ruth Bruder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Diane Ruth Bruder, CNS
2000 Klein Sstreet,
St. Peter, MN 56082
Ph: (507) 931-7192 | Miss Diane Ruth Bruder, CNS
2000 Klein Street,
St. Peter, MN 56082
Ph: (507) 931-7192 |
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