BRUCE RANDALL LANUM RN, MN, CS, FNP
NPI 1205925120
Nurse Practitioner - Family in University Place, WA

Active since October 11, 2006
4401 BRIDGEPORT WAY W, ATTN CREDENTIALING, UNIVERSITY PLACE, WA 98466(253) 564-4157(253) 564-4813 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Randall Lanum Rn, Mn, Cs, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE RANDALL LANUM RN, MN, CS, FNP (NPI 1205925120) is an individual family provider in University Place, Washington, licensed in Washington (AP60060142) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1205925120
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRUCE RANDALL LANUMCredential: RN, MN, CS, FNP
Location Address4401 BRIDGEPORT WAY W, ATTN CREDENTIALINGUniversity Place, WA 98466-4201
Mailing Address4401 Bridgeport Way W, Attn CredentialingUniversity Place, WA 98466-4201 · (253) 564-4157 · Fax (253) 564-4813
Fax(253) 564-4813
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 4, 2016
NPI 1205925120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP60060142
4401 BRIDGEPORT WAY W, University Place, WA 98466

Other Identifiers 1

Medicare UPINVAD 000

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Family Medicine
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Family Medicine
4401 BRIDGEPORT WAY W, SUITE 100
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
General Practice
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Specialist
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Lanum's NPI number?

The NPI number for Bruce Lanum is 1205925120. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Bruce Lanum located?

Bruce Lanum practices at 4401 Bridgeport Way W Attn Credentialing, University Place, WA 98466. The listed phone number is (253) 564-4157.

What is Bruce Lanum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bruce Lanum was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.