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Individual

PATRICIA GILLIS-BRAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 E CARROLL ST, PRMC INPATIENT SERVICES, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 543-7272
Mailing address
100 E CARROLL ST, PRMC INPATIENT SERVICES, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 543-7272

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R075086
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184832040
GROUP NPI
MD
05
642802900
MD
Enumeration date
07/14/2005
Last updated
02/24/2017
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