MARY JANE BRUEN


Address: 1200 E Michigan Ave, Suite 460, Lansing, MI 48912-1800
Phone: 5173645490

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
4704110413 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS INDIVIDUAL PIN 5008765830 01
MI 4327027 05

Other Providers MARY BRUEN

NPI Name Taxonomy Address Enumeration
1407203680 Mary Bruen Physician Assistant 601 W Spruce St Ste J, Missoula, MT 59802 2016-05-18

Office Location

Street Address 1200 E MICHIGAN AVE
SUITE 460
City LANSING
State MI
Zip Code 48912-1800

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LANSING
Zip Code 48912

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Dataset Information

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.

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