Raven Bruce
Peer Specialist · Shawnee, OK
NPI number
1356055669
Practice location
1336 N Harrison AveShawnee, OK 74801-5206
- Phone
- (405) 424-7711
NPI record
- NPI
- 1356055669
- Entity type
- Individual (Type 1)
- Enumeration date
- January 11, 2023
- Last updated
- January 11, 2023
- Certified
- January 11, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
113 W College AveSeminole, OK 74868-3302
About Raven Bruce
Raven Bruce is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1336 N Harrison Ave, Shawnee, OK 74801-5206. The NPI number 1356055669 was assigned on January 11, 2023 and the record was last updated on January 11, 2023.
Frequently asked questions
What is the NPI number of Raven Bruce?
The NPI number is 1356055669.
What is the phone number of Raven Bruce?
The phone number listed for the practice location is (405) 424-7711.
Where is Raven Bruce located?
1336 N Harrison Ave, Shawnee, OK 74801-5206.
What is the taxonomy code for Raven Bruce?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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