Individual
LIA B BRAICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5957 MAIN ST, MANCHESTER CENTER, VT 05255-8913
(802) 362-4440
Mailing address
5957 MAIN ST, MANCHESTER CENTER, VT 05255-8913
(802) 362-4440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
026.0152150
VT
363LF0000X
Family Nurse Practitioner
F340676
NY
Other
Enumeration date
08/02/2016
Last updated
02/13/2025
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