Provider Demographics
NPI:1093288409
Name:BRUSS, ERIN L (MSN, FN-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:BRUSS
Suffix:
Gender:F
Credentials:MSN, FN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W 9TH ST APT 1007
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-1041
Mailing Address - Country:US
Mailing Address - Phone:440-506-9306
Mailing Address - Fax:
Practice Address - Street 1:1300 W 9TH ST APT 1006
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-1041
Practice Address - Country:US
Practice Address - Phone:440-506-9306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.399724363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily