IndividualActive
Alexa Bruce, PA - C
NPI 1083394167 · Physician Assistant · Norwich, CT
Provider details
- NPI number
- 1083394167
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA - C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6472 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
326 Washington Street
Norwich, CT 06360-4710
Phone: (860) 889-8331
Fax: (860) 823-1501
Approximate (ZIP-level) locationGet directions
Mailing address
4492 Blackland Dr
Marietta, GA 30067-4710
Additional practice locations (1)
- 4492 Blackland DrMarietta, GA 30067-4710Phone: (678) 314-8525
Registry dates
- Enumerated
- 2023-07-24
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.