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Individual

MRS. PATRICIA DOPLER BRASWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1301 WOLFE ST, LITTLE ROCK, AR 72202-5320
(501) 364-1830
(501) 364-4931
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 364-1830
(501) 364-4931

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20270
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCBS
5Y641
AR
01
TRICARE
AO1047
AR
Enumeration date
09/26/2006
Last updated
07/08/2007
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