Provider Demographics
NPI:1972314128
Name:BRUCE, DEBORAH L (HM)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:BRUCE
Suffix:
Gender:F
Credentials:HM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 W MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-1222
Mailing Address - Country:US
Mailing Address - Phone:509-202-6372
Mailing Address - Fax:
Practice Address - Street 1:1510 W MAIN AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1222
Practice Address - Country:US
Practice Address - Phone:509-202-6372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
WAHM60777731374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide