IndividualActive
Bruce Bacon, RN
NPI 1720097371 · Rehabilitation Registered Nurse · Milwaukee, WI
Provider details
- NPI number
- 1720097371
- Entity type
- Individual
- Primary specialty
- Rehabilitation Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 122292-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
5000 W National Ave
Milwaukee, WI 53295-0001
Phone: (414) 384-2000
Approximate (ZIP-level) locationGet directions
Mailing address
2232 W Glen Hills Ct
Glendale, WI 53209-3353
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.