Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS DIANE RUTH BRUDER, CNS
Active Sole ProprietorMISS DIANE RUTH BRUDER, CNS is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ST. PETER, Minnesota. NPI 1124041504 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ST. PETER, MN
Registration Details
- NPI Number
- 1124041504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2006 (20.012716012447 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R 102741-9 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 KLEIN STREETST. PETER, MN, 56082Browse MN providers · Browse ZIP 56082
- Phone
- 5079317192
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.