Individual
JED BRATTEN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HOSPITAL DR, HENDERSONVILLE, NC 28792-5272
(828) 681-2420
(828) 687-0729
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227463
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
90061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01523472
RAILROAD MEDICARE
NC
Enumeration date
03/27/2012
Last updated
10/25/2016
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