Individual
MARY S BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
130 HIGHLAND AVE, LEWISTOWN, PA 17044-1331
(717) 247-7918
(717) 247-7939
Mailing address
904 CAMPBELL STREET, SUITE 203, WILLIAMSPORT, PA 17701-2627
(717) 840-9885
(717) 840-9313
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
MW008344L
PA
367A00000X
Advanced Practice Midwife
Primary
MW008344L
PA
Other
Enumeration date
09/29/2005
Last updated
04/07/2016
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