MARILYN ANNE BRUDERER (NPI# 1962461863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962461863 |
| Entity Type | Individual |
| Full Name | MARILYN ANNE BRUDERER |
| Credential | APRN |
| Practice Address |
718 Smyth Rd Va Medical Center Manchester NH 03104-7004 |
| Mailing Address |
177 Howe St Methuen MA 01844-2128 |
| Practice Telephone | 6036244366 |
| Practice Fax Number | 6036266572 |
| Mailing Telephone | 9786885743 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
204393-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
718 SMYTH RD VA MEDICAL CENTER |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104321249 | Rachel Ann Rang | Nurse Practitioner | 159 Woodland Way, Manchester, MI 48158-8585 | 2018-03-29 |
| 1396182119 | Carol Jean Napier | Nurse Practitioner | 515 Memorial Dr Ste 3, Manchester, KY 40962-9157 | 2013-06-03 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1801023056 | Chastity J Boucher | Nurse Practitioner | 1200 Elm St Unit 702, Manchester, NH 03101-2517 | 2009-06-15 |
| 1841392024 | Ivy Joyce Gabai | Nurse Practitioner | 140 Queen City Ave, Manchester, NH 03103-7122 | 2006-09-01 |
| 1871563098 | Candice T Pych | Nurse Practitioner | 272 Main St, Manchester, CT 06042-3536 | 2006-01-23 |
| 1326562828 | Meghan Tetreault | Nurse Practitioner | 353 Main St, Manchester, CT 06040-4145 | 2017-07-27 |
| 1598217564 | Prisca Zikuce Langa | Nurse Practitioner | 138 Webster St, Manchester, NH 03104 | 2016-10-26 |
| 1225432347 | Patty M Dumont | Nurse Practitioner | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2014-10-17 |
| 1881930824 | Jessie R Mcmanus | Nurse Practitioner | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1771 | 2012-12-19 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on MARILYN ANNE BRUDERER.
| 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.