Individual
MRS. ERINI CONSTANTINA BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3250 W LOWER BUCKEYE RD, PHOENIX, AZ 85009-6729
(602) 876-7137
Mailing address
13257 W AVENIDA DEL REY, PEORIA, AZ 85383-3511
(602) 821-5461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11343
AZ
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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