Individual
MRS. CHRISTY LIN BRAMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1905 W 19TH ST, MOUNTAIN GROVE, MO 65711-1287
(417) 926-1770
(417) 926-1785
Mailing address
1905 W 19TH ST, MOUNTAIN GROVE, MO 65711-1287
(417) 926-1770
(417) 926-1785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012002377
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D2006074
CLIA
MO
05
—
420012684
—
MO
Enumeration date
01/26/2012
Last updated
09/30/2022
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