Provider Demographics
NPI:1164537528
Name:BRUCE, DARLENE B (RN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:B
Last Name:BRUCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 WAKEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-615-3751
Mailing Address - Fax:401-615-3754
Practice Address - Street 1:70 MINNESOTA AVE
Practice Address - Street 2:THE KENT CENTER
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888
Practice Address - Country:US
Practice Address - Phone:407-738-0685
Practice Address - Fax:401-738-4413
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN31154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDB44514Medicare ID - Type Unspecified