Diane R Bruder (NPI# 1124041504, PAC ID# 2769518158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL NURSE SPECIALIST.
| Nation Provider ID (NPI) | 1124041504 |
| PAC ID by PECOS | 2769518158 |
| Professional Enrollment ID | I20100324000815 |
| Full Name | Diane R Bruder |
| Organization Legal Name | FAMILY LIFE MENTAL HEALTH CENTER |
| Address |
1930 Nw Coon Rapids Blvd Coon Rapids MN 55433-4708 |
| Phone Number | 7634277964 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL NURSE SPECIALIST |
| Group Practice PAC ID | 0143119388 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1930 Nw Coon Rapids Blvd, Coon Rapids, MN 55433-4708 | 7634277964 | FAMILY LIFE MENTAL HEALTH CENTER |
| Organization Legal Name | FAMILY LIFE MENTAL HEALTH CENTER |
| Physicians | 1 |
| Street Address |
1930 NW COON RAPIDS BLVD |
| City | COON RAPIDS |
| State | MN |
| Zip | 55433-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle D Traynor | Chiropractic | Waypoint Minnesota PC | 3183 Northdale Blvd Nw, Suite 103, Coon Rapids, MN 55433-1756 |
| Craig A Schadow | Chiropractic | 3818 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2517 | |
| Stephanie Rae Walvatne | Nurse Practitioner | 3887 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2518 | |
| George A Haikel | Urology | 3879 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
| Melanie A Ferguson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Mark D Mcmillan | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| John A Kosiak | Radiation Oncology | Minneapolis Radiation Oncology Pa | 4030 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Joyce S Stewart | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Amber Galarowicz | Internal Medicine | Allina Health System | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Michael A Erickson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Find all physicians in zip 55433 | |||
| City | COON RAPIDS |
| Zip Code | 55433 |
| Specialty | CLINICAL NURSE SPECIALIST |
| City + Specialty | COON RAPIDS + CLINICAL NURSE SPECIALIST |
Please comment or provide details below to improve the information on Diane R Bruder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.