Individual
BRACAN JOHN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12833 51ST AVE SE, EVERETT, WA 98208-9618
(206) 919-5082
Mailing address
12833 51ST AVE SE, EVERETT, WA 98208-9618
(206) 919-5082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201142666RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60499120
WA
Other
Enumeration date
03/13/2012
Last updated
04/01/2022
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