Individual
MR. MICHAEL BRATHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2100 S HIGHWAY 87, WINSLOW, AZ 86047-9789
(928) 289-9551
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2616
(201) 625-5662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10667
AZ
Other
Enumeration date
10/05/2017
Last updated
11/15/2017
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