Provider Demographics
NPI:1538501085
Name:BRUGMAN, SUE ANN (ARNP)
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:ANN
Last Name:BRUGMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 NORRIS PL
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-3411
Mailing Address - Country:US
Mailing Address - Phone:712-580-4570
Mailing Address - Fax:712-580-4573
Practice Address - Street 1:1801 NORRIS PL
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-3411
Practice Address - Country:US
Practice Address - Phone:712-580-4570
Practice Address - Fax:712-580-4573
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-053063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily