National Provider Identifier
Millissa Brueckman
Millissa Brueckman is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 838-6060.
Profile Overview
- NPI
- 1447503578
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 26, 2012
- Last Updated
- October 26, 2012
Practice Location
- 2465 Sheridan Dr
- Tonawanda, NY 14150-9407
Phone: (716) 838-6060
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1447503578
- Entity Type
- Individual
- Last Name
- Brueckman
- First Name
- Millissa
- Mailing Street Address
- 2465 Sheridan Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-9407
- Mailing Country
- US
- Mailing Phone
- (716) 838-6060
- Practice Street Address
- 2465 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9407
- Practice Country
- US
- Practice Phone
- (716) 838-6060
- Enumeration Date
- October 26, 2012
- Last Updated
- October 26, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)