Individual
ASHTYNN RAE BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
815 ANN AVE APT 3D, SAINT LOUIS, MO 63104-4103
(618) 927-8355
Mailing address
815 ANN AVE APT 3D, SAINT LOUIS, MO 63104-4103
(618) 927-8355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006778
IL
363A00000X
Physician Assistant
2022000534
MO
Other
Enumeration date
09/05/2018
Last updated
11/30/2022
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