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Individual

ROBIN BRADEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
2324 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 536-8109
(770) 536-3203
Mailing address
PO BOX 907790, GAINESVILLE, GA 30501-0912
(770) 536-8109
(770) 536-3203

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN044266
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01213652
AMERIGROUP
GA
05
418169008B
GA
01
459289
WELLCARE
GA
Enumeration date
12/20/2006
Last updated
02/19/2010
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