Individual
STEPHANIE M BRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 734-3990
Mailing address
4920 S 30TH ST STE 103, OMAHA, NE 68107-1656
(402) 734-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12424
MN
363A00000X
Physician Assistant
Primary
1634
NE
Other
Enumeration date
02/07/2012
Last updated
09/18/2024
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