MARY JANE BRUEN (NPI# 1245357573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245357573 |
Entity Type | Individual |
Full Name | MARY JANE BRUEN |
Other Name | MARY JANE ORDOWSKI |
Credential | NP |
Practice Address |
1200 E Michigan Ave Suite 460 Lansing MI 48912-1800 |
Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
Practice Telephone | 5173645490 |
Practice Fax Number | 5173645499 |
Mailing Telephone | 5173646253 |
Mailing Fax Number | 5173646208 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704110413 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS INDIVIDUAL PIN | 5008765830 | 01 |
MI | 4327027 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407203680 | Mary Bruen | Physician Assistant | 601 W Spruce St Ste J, Missoula, MT 59802 | 2016-05-18 |
Street Address |
1200 E MICHIGAN AVE SUITE 460 |
City | LANSING |
State | MI |
Zip Code | 48912-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942202494 | Shirley R Courey | Nurse Practitioner | 1200 E Michigan Ave, Suite 500, Lansing, MI 48912-1800 | 2005-08-15 |
1205444866 | Anthony Griffin | Nurse Practitioner | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2020-07-20 |
1255967725 | Rachel Gibney | Registered Nurse | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2020-03-17 |
1104398684 | Emma Skye Sanger | Speech-Language Pathologist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-12-21 |
1548732175 | Madalina Ioana Hill | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-12-20 |
1376010462 | Taryn Noelle Edsall | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-10-27 |
1962996470 | Danielle Mugerian | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-06-18 |
1669960605 | Stephen Sudekum | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-04-25 |
1275039547 | Angela Chapman | Occupational Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-04-04 |
1689176984 | Laura Barrons | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-03-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
Find all providers in zip 48912 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528509106 | Henna Shaban Kabani | Nurse Practitioner | 2414 Lake Lansing Rd, Lansing, MI 48912-3618 | 2017-03-15 |
1194154476 | Nicole Wieber | Nurse Practitioner | 1200 E Michigan Ave, Ste 145, Lansing, MI 48912-1837 | 2013-11-06 |
1649574591 | Lydia Ann Watkins | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2011-01-07 |
1316175250 | Kathleen King | Nurse Practitioner | 1200 E Michigan Ave, Suite 145, Lansing, MI 48912-1800 | 2009-06-30 |
1306065651 | Theresa Holmgren | Nurse Practitioner | 2414 Lake Lansing Rd, Lansing, MI 48912-3618 | 2007-04-25 |
1063631315 | Lana Garcia | Nurse Practitioner | 2414 Lake Lansing Rd, Lansing, MI 48912-3618 | 2007-04-25 |
1093934358 | Sylvia Zaleski | Nurse Practitioner | 2414 Lake Lansing Rd, Lansing, MI 48912-3618 | 2007-04-25 |
1891914156 | Karen Motley | Nurse Practitioner | 2414 Lake Lansing Rd, Lansing, MI 48912-3618 | 2007-04-25 |
1336269166 | Rhonda Conner-warren | Nurse Practitioner | 5303 S Cedar St, Lansing, MI 48911-3800 | 2007-03-29 |
1447304670 | Cynthia C Meteyer | Nurse Practitioner | 1200 E Michigan Ave, Ste 145, Lansing, MI 48912-1800 | 2007-01-23 |
Find all providers in LANSING |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.