Provider Demographics
NPI:1396629788
Name:BRUGGEMAN, HANNAH (MCN, RD, LD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BRUGGEMAN
Suffix:
Gender:F
Credentials:MCN, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 MUSTANG DR APT 208
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-2483
Mailing Address - Country:US
Mailing Address - Phone:830-220-3419
Mailing Address - Fax:
Practice Address - Street 1:1601 MUSTANG DR APT 208
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-2483
Practice Address - Country:US
Practice Address - Phone:830-220-3419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered