Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE MICHELLE BRUISTER, PA
Active Sole ProprietorKATHERINE MICHELLE BRUISTER, PA is a Physician Assistant healthcare provider located in GULFPORT, Mississippi. NPI 1639996952 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GULFPORT, MS
Registration Details
- NPI Number
- 1639996952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2024 (1.8532022898843 yrs)
- Last Updated
- Sep 26, 2024
- License
-
PA00833 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4215 15TH STGULFPORT, MS, 395012523Browse MS providers · Browse ZIP 39501
- Phone
- 2288635211
- Fax
- 2288634101
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| KEVIN MICHAEL HITES | PA | 1639170723 |
| MRS. TIFFANY JO ARCHER | PA-C | 1386896595 |
| ANNE HANCOCK SMITS | PA-C | 1720310956 |
| JAMIE OLSEN WILLIAMS | PA-C | 1427349885 |
| JAMIE LYNNE DUBECK | PA-C | 1669722799 |
| MRS. BARBRA ELLEN DRODDY | PA-C | 1740533280 |
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.