Individual
BRADEN MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1263 S GEORGE ST # A, CHARLES TOWN, WV 25414-4384
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104392
WV
Other
Enumeration date
11/07/2022
Last updated
10/06/2025
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