Individual
MIRIAM LOUISE BRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1415 W SCENIC RIVERS BLVD, SALEM, MO 65560-2840
(573) 729-5533
(573) 202-2466
Mailing address
1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS, ROLLA, MO 65401
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2006007575
MO
363LF0000X
Family Nurse Practitioner
2017015433
MO
Other
Enumeration date
05/20/2017
Last updated
06/06/2022
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