Individual
MAGEN ANASTASIA BRAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 IVY GTWY, CINCINNATI, OH 45245-1898
(513) 751-2273
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007762RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246016
—
OH
Enumeration date
01/14/2022
Last updated
02/14/2023
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