Provider Demographics
NPI:1639858723
Name:BRUCE, EMILY JOANNE (FNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JOANNE
Last Name:BRUCE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-001 KAMEHAMEHA HWY STE 314
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3724
Mailing Address - Country:US
Mailing Address - Phone:808-234-0033
Mailing Address - Fax:
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 314
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3724
Practice Address - Country:US
Practice Address - Phone:808-234-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily