| Lydia Ann Bruck, NP | |
|
321 N Preston Rd Ste C, Prosper, TX 75078-8882 | |
| (469) 488-4900 | |
| (469) 488-4901 |
| Full Name | Lydia Ann Bruck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 321 N Preston Rd Ste C, Prosper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447999081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1069837 (Texas) | Primary |
| Entity Name | Prishiv Enterprises Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831761857 PECOS PAC ID: 9638572662 Enrollment ID: O20210728000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Ann Bruck, NP 321 N Preston Rd Ste C, Prosper, TX 75078-8882 Ph: (469) 488-4900 | Lydia Ann Bruck, NP 321 N Preston Rd Ste C, Prosper, TX 75078-8882 Ph: (469) 488-4900 |
Mrs. Jennifer Shah, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N Preston Rd Ste B, Prosper, TX 75078 Phone: 972-347-1320 | |
Jean Ann Clark, MSRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S Preston Rd, Prosper, TX 75078 Phone: 972-347-6375 Fax: 972-347-6375 | |
Mrs. Leeann Cuevas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4530 W University Dr, Prosper, TX 75078 Phone: 757-814-8808 | |
Mrs. Angela Marie Vandersmitte, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 N Preston Rd Ste B, Prosper, TX 75078 Phone: 972-347-1320 Fax: 972-347-1322 | |
Miss Arianna Colbert, APRN- CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2120 Prairie Dr Ste 102, Prosper, TX 75078 Phone: 972-544-9455 | |
Francisca Ruswayi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Packsaddle Trl, Prosper, TX 75078 Phone: 214-680-9190 | |
Allison Sullivan, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 |